Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YM0800X | Mental Health Counselor | PC009319 | PA |
NPI | 1003177916 |
---|---|
Provider Name | Janelle A. Crisp |
First Address | Pittsburgh, PA 15222-1834 |
Second Address | Pittsburgh, PA 15222-1834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 11/01/2022 |