Healthcare Provider Details

I. General information

NPI: 1952820276
Provider Name (Legal Business Name): JANEL PAMELA WASHINGTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 04/19/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S LINCOLN AVE
STEAMBOAT SPRINGS CO
80487
US

IV. Provider business mailing address

129 MAIN ST #235
OAK CREEK CO
80467
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-2141
  • Fax: 970-879-7912
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.013270
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0015504
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: