Provider Demographics
NPI:1548219629
Name:STOCK NEHER, JANESE ANNETTA (LPC)
Entity Type:Individual
Prefix:MS
First Name:JANESE
Middle Name:ANNETTA
Last Name:STOCK NEHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 TANNER BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-9829
Mailing Address - Country:US
Mailing Address - Phone:573-496-3335
Mailing Address - Fax:573-496-0101
Practice Address - Street 1:9124 TANNER BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-9829
Practice Address - Country:US
Practice Address - Phone:573-496-0101
Practice Address - Fax:573-496-0101
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003032188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional