Provider Demographics
NPI:1255503496
Name:VANDERWHITTE, JANINE K (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:K
Last Name:VANDERWHITTE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 KIRKWOOD PL N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5931
Mailing Address - Country:US
Mailing Address - Phone:206-799-7857
Mailing Address - Fax:
Practice Address - Street 1:20006 CEDAR VALLEY RD BLDG A
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6334
Practice Address - Country:US
Practice Address - Phone:206-799-7857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health