Doctor Name: | JANNA YORK |
NPI Number: | 1740607530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 63338 |
Business Practice Address: | 9910 Ramblewood Dr Woodway, TX - 767123119 |
Business Phone Number: | 2543998015 |
Business Fax Number: | |
Mailing Address: | 9910 Ramblewood Dr, WOODWAY |
State: | TX |
Postal Code: | 767123119 |
Phone Number: | 2543998015 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |