Provider Demographics
NPI:1043856461
Name:WARD, JANICE L (MA, PA-LPC, DE-LPCMH)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:L
Last Name:WARD
Suffix:
Gender:F
Credentials:MA, PA-LPC, DE-LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2357 PATWYNN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2752
Mailing Address - Country:US
Mailing Address - Phone:302-753-8681
Mailing Address - Fax:
Practice Address - Street 1:2357 PATWYNN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-2752
Practice Address - Country:US
Practice Address - Phone:302-753-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001628101YP2500X
DEPC-0000571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional