Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 5012 | LA |
N | 101YM0800X | Mental Health Counselor | 75172 | TX |
Y | 101YM0800X | Mental Health Counselor | LH60611810 | WA |
N | 101YM0800X | Mental Health Counselor | LPC0012751 | CO |
NPI | 1003260936 |
---|---|
Provider Name | Janet Wisinger |
First Address | Seattle, WA 98104-1339 |
Second Address | Seattle, WA 98104-1339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2016 |
Last Update Date | 18/04/2016 |