Provider Demographics
NPI:1427182740
Name:GUNN, JANICE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ANN
Last Name:GUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454 BOX 3411
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09250-3411
Mailing Address - Country:US
Mailing Address - Phone:0114-998-0283
Mailing Address - Fax:
Practice Address - Street 1:USAG ANSBACH ASAP
Practice Address - Street 2:UNIT 28614
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09177-8614
Practice Address - Country:US
Practice Address - Phone:0114-998-0283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 33281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical