Provider Demographics
NPI:1588850986
Name:MAREK, JANINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:
Last Name:MAREK
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 1:9262 FOREST LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4207
Mailing Address - Country:US
Mailing Address - Phone:214-340-5090
Mailing Address - Fax:214-340-9779
Practice Address - Street 1:9262 FOREST LN
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4207
Practice Address - Country:US
Practice Address - Phone:214-340-5090
Practice Address - Fax:214-340-9779
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health