Provider Demographics
NPI:1376622589
Name:ZANDER, JANET JOANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:JOANNE
Last Name:ZANDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 SETZER COVE RD
Mailing Address - Street 2:
Mailing Address - City:MAGGIE VALLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28751-7740
Mailing Address - Country:US
Mailing Address - Phone:828-734-0039
Mailing Address - Fax:
Practice Address - Street 1:542 SETZER COVE RD
Practice Address - Street 2:
Practice Address - City:MAGGIE VALLEY
Practice Address - State:NC
Practice Address - Zip Code:28751
Practice Address - Country:US
Practice Address - Phone:828-734-0039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102239Medicaid