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1275645913 NPI number — JANETTE RENEE WILLIAMS LCPC

NPI Number: 1275645913
Health Care Provider/Practitioner: JANETTE RENEE WILLIAMS LCPC

Information about “1275645913” NPI (JANETTE RENEE WILLIAMS LCPC) exists in 1275645913 in HTML format HTML  |  1275645913 in plain Text format TXT  |  1275645913 in PDF (Portable Document Format) PDF  |  1275645913 in an XML format XML  formats.

NPI Number : 1275645913 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275645913",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "JANETTE",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORRIS",
    "OtherFirstName": "JANETTE",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "110 MOONEY DR STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOURBONNAIS",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60914-2172",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-370-6146",
    "MailingAddressFaxNumber": "815-933-7890",
    "FirstLinePracticeLocationAddress": "110 MOONEY DR STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOURBONNAIS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60914-2172",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-933-7887",
    "PracticeLocationAddressFaxNumber": "815-933-7870",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "12/30/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "180004866",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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