Provider Demographics
NPI:1003177916
Name:CRISP, JANELLE A (LPC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:A
Last Name:CRISP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 5TH AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1834
Mailing Address - Country:US
Mailing Address - Phone:412-204-6017
Mailing Address - Fax:412-774-2406
Practice Address - Street 1:100 5TH AVE STE 1200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1834
Practice Address - Country:US
Practice Address - Phone:412-204-6017
Practice Address - Fax:412-774-2406
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC009319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health