Provider Demographics
NPI:1538329172
Name:FELEY, JANEEN MAE (MA)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:MAE
Last Name:FELEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W MERCER ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3995
Mailing Address - Country:US
Mailing Address - Phone:206-384-0704
Mailing Address - Fax:206-216-3364
Practice Address - Street 1:200 W MERCER ST
Practice Address - Street 2:SUITE 307
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3995
Practice Address - Country:US
Practice Address - Phone:206-384-0704
Practice Address - Fax:206-216-3364
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health