Provider Demographics
NPI:1225451958
Name:ALTHEN, JANELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:ALTHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 GOLDENVUE DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1724
Mailing Address - Country:US
Mailing Address - Phone:720-837-3907
Mailing Address - Fax:
Practice Address - Street 1:2460 W 26TH AVE STE 165C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5307
Practice Address - Country:US
Practice Address - Phone:720-837-3907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9929011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical