Provider Demographics
NPI:1417174418
Name:KREITNER-CAIN, JANICE M (LMFT)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:M
Last Name:KREITNER-CAIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:STREETMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75859-0086
Mailing Address - Country:US
Mailing Address - Phone:214-769-8708
Mailing Address - Fax:903-599-3182
Practice Address - Street 1:302 EAST LUBBOCK
Practice Address - Street 2:
Practice Address - City:STREETMAN
Practice Address - State:TX
Practice Address - Zip Code:75859
Practice Address - Country:US
Practice Address - Phone:214-769-8708
Practice Address - Fax:903-599-3182
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4487106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist