Healthcare Provider Details

I. General information

NPI: 1982315677
Provider Name (Legal Business Name): JANICE WEBB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 W ARIZONA PAVILIONS DR UNIT 536
CORTARO AZ
85652-2921
US

IV. Provider business mailing address

5800 W ARIZONA PAVILIONS DR UNIT 536
CORTARO AZ
85652-2921
US

V. Phone/Fax

Practice location:
  • Phone: 520-352-9940
  • Fax:
Mailing address:
  • Phone: 520-352-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-23626
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: