Provider Demographics
NPI:1407905987
Name:PAUL, JANICE M (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:M
Last Name:PAUL
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 COMMERCE BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1348
Mailing Address - Country:US
Mailing Address - Phone:973-584-8889
Mailing Address - Fax:973-584-8889
Practice Address - Street 1:20 COMMERCE BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1348
Practice Address - Country:US
Practice Address - Phone:973-584-8889
Practice Address - Fax:973-584-8889
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00128300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health