Provider Demographics
NPI:1568432284
Name:COMER, JANET MARY (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARY
Last Name:COMER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 E BROADWAY BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5301
Mailing Address - Country:US
Mailing Address - Phone:520-271-6564
Mailing Address - Fax:520-325-5121
Practice Address - Street 1:2919 E BROADWAY BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5301
Practice Address - Country:US
Practice Address - Phone:520-271-6564
Practice Address - Fax:520-325-5121
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0094101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional