Provider Demographics
NPI:1144423500
Name:HARBERT, JANEEN (PHD, MA)
Entity Type:Individual
Prefix:MS
First Name:JANEEN
Middle Name:
Last Name:HARBERT
Suffix:
Gender:F
Credentials:PHD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 PERCIVAL ST SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5446
Mailing Address - Country:US
Mailing Address - Phone:360-352-3618
Mailing Address - Fax:360-352-3618
Practice Address - Street 1:1800 COOPER POINT RD SW
Practice Address - Street 2:17
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1178
Practice Address - Country:US
Practice Address - Phone:360-349-0822
Practice Address - Fax:360-352-3289
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALMHC00005983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health