Provider Demographics
NPI:1598773772
Name:FALVEY, JANIS M (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:M
Last Name:FALVEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1818
Mailing Address - Country:US
Mailing Address - Phone:973-236-9444
Mailing Address - Fax:973-635-2663
Practice Address - Street 1:14 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1818
Practice Address - Country:US
Practice Address - Phone:973-236-9444
Practice Address - Fax:973-635-2663
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional