Provider Demographics
NPI:1497987911
Name:LAFOUNTAINE, JANICE E (LMFT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:LAFOUNTAINE
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 1:27026 N RIVER ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:CHATTAROY
Mailing Address - State:WA
Mailing Address - Zip Code:99003-9600
Mailing Address - Country:US
Mailing Address - Phone:509-590-5922
Mailing Address - Fax:509-210-6858
Practice Address - Street 1:27026 N RIVER ESTATES DR
Practice Address - Street 2:
Practice Address - City:CHATTAROY
Practice Address - State:WA
Practice Address - Zip Code:99003-9600
Practice Address - Country:US
Practice Address - Phone:509-590-5922
Practice Address - Fax:509-210-6858
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60231149106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist