Doctor Name: | MRS. JANET M. FENNER |
NPI Number: | 1730282013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.F.T., A.R.N.P. |
License Number: | MT1335 |
Business Practice Address: | 94 N Hall St. Labelle Counseling Center Labelle, FL - 339355250 |
Business Phone Number: | 8636756776 |
Business Fax Number: | 8636756778 |
Mailing Address: | 94 N Hall St, LABELLE |
State: | FL |
Postal Code: | 339355250 |
Phone Number: | 8636756776 |
Fax Number: | 8636756778 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MT1335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |