Provider Demographics
NPI:1609955053
Name:KOWALSKI, JANET G (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:G
Last Name:KOWALSKI
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:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30514-0186
Mailing Address - Country:US
Mailing Address - Phone:706-781-6035
Mailing Address - Fax:706-374-4222
Practice Address - Street 1:189 ROGERS ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8507
Practice Address - Country:US
Practice Address - Phone:706-781-6035
Practice Address - Fax:706-374-4222
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 003586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health