| Janiece Anjali, Pllc | |
|
552 B St Ashland OR 97520-2024 | |
| (425) 585-3982 | |
| Not Available |
| Full Name | Janiece Anjali, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 552 B St, Ashland, Oregon |
| Authorized Official Name and Position | Janiece Anjali (OWNER) |
| Authorized Official Contact | 4252936314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janiece Anjali, Pllc 7345 164th Ave Ne Ste I1451380 Redmond WA 98052-7846 Ph: (425) 293-6314 | Janiece Anjali, Pllc 552 B St Ashland OR 97520-2024 Ph: (425) 585-3982 |
| NPI Number | 1376306423 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 1456797760 |
|---|---|
| Medicare Enrollment ID | O20240308002685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376306423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janiece Anjali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518484708 PECOS PAC ID: 2365888674 Enrollment ID: I20240308002761 |
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