Provider Demographics
NPI:1598855561
Name:DUKE, JANIS WEAVER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:WEAVER
Last Name:DUKE
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 1:200 WEST MAIN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640
Mailing Address - Country:US
Mailing Address - Phone:989-633-9021
Mailing Address - Fax:989-633-9026
Practice Address - Street 1:200 WEST MAIN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-633-9021
Practice Address - Fax:989-633-9026
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009607101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health