Janeen Provazek Ma Ps | |
5800 Soundview Dr Ste 101-d Gig Harbor WA 98335-2077 | |
(253) 851-6178 | |
(253) 851-6199 |
Full Name | Janeen Provazek Ma Ps |
---|---|
Speciality | Marriage & Family Therapist |
Location | 5800 Soundview Dr, Gig Harbor, Washington |
Authorized Official Name and Position | Janeen Provazek (PRESIDENT AND ONLY EMPLOYEE) |
Authorized Official Contact | 2538516178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Janeen Provazek Ma Ps 5800 Soundview Dr Ste 101-d Gig Harbor WA 98335-2077 Ph: (253) 851-6178 | Janeen Provazek Ma Ps 5800 Soundview Dr Ste 101-d Gig Harbor WA 98335-2077 Ph: (253) 851-6178 |
NPI Number | 1669575247 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669575247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LF00001337 (Washington) | Primary |
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