Provider Demographics
NPI:1437798972
Name:DOWNUM, JANA (PHD, LPC, MHC)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:DOWNUM
Suffix:
Gender:F
Credentials:PHD, LPC, MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6399 BAY CLUB DR APT 3
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1609
Mailing Address - Country:US
Mailing Address - Phone:214-566-0676
Mailing Address - Fax:
Practice Address - Street 1:6399 BAY CLUB DR APT 3
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1609
Practice Address - Country:US
Practice Address - Phone:214-566-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-01
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17289101YM0800X, 101YP2500X
FL20308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health