Provider Demographics
NPI:1275645921
Name:HOLLABAUGH, JANET L (LPC, CAC DIPLOMATE)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:HOLLABAUGH
Suffix:
Gender:F
Credentials:LPC, CAC DIPLOMATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 346
Mailing Address - Street 2:346 WILSON ROAD
Mailing Address - City:WORTHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16262-9503
Mailing Address - Country:US
Mailing Address - Phone:724-545-1832
Mailing Address - Fax:724-545-1832
Practice Address - Street 1:1326 FREEPORT RD
Practice Address - Street 2:SUITE 250
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3131
Practice Address - Country:US
Practice Address - Phone:412-967-0610
Practice Address - Fax:412-968-0527
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002849101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional