Provider Demographics
NPI:1508353939
Name:HERMAN, JANESSA LYNN (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANESSA
Middle Name:LYNN
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2365 HAHNS DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-5322
Mailing Address - Country:US
Mailing Address - Phone:484-464-1964
Mailing Address - Fax:
Practice Address - Street 1:2233 WALBERT AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1363
Practice Address - Country:US
Practice Address - Phone:842-732-3614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
685159101Y00000X
PAPC010162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor