Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 1041C0700X | Clinical Social Worker | 1629 | OK |
NPI | 1174826333 |
---|---|
Provider Name | Lisa Janer |
First Address | Bartlesville, OK 74003-3917 |
Second Address | Bartlesville, OK 74003-3847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2010 |
Last Update Date | 03/07/2014 |