Provider Demographics
NPI:1609587278
Name:HAUGHTON, JANET LOUISE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LOUISE
Last Name:HAUGHTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 SUZANNE STREET
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ON
Mailing Address - Zip Code:N9H 2L4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2295 SUZANNE STREET
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:ON
Practice Address - Zip Code:N9H 2L4
Practice Address - Country:CA
Practice Address - Phone:519-980-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451020833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional