Provider Demographics
NPI:1598778821
Name:NEWCOMER, JANICE ELAINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ELAINE
Last Name:NEWCOMER
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 1:5405 JONESTOWN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112
Mailing Address - Country:US
Mailing Address - Phone:717-671-9520
Mailing Address - Fax:717-671-9524
Practice Address - Street 1:5405 JONESTOWN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112
Practice Address - Country:US
Practice Address - Phone:717-671-9520
Practice Address - Fax:717-671-9524
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000563101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101029OtherVALUE OPTIONS