Provider Demographics
NPI:1629128368
Name:ANGELINI, JANICE (LPCMH)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:ANGELINI
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S OGLE AVE
Mailing Address - Street 2:COLONIAL PARK
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1419
Mailing Address - Country:US
Mailing Address - Phone:302-376-0621
Mailing Address - Fax:302-376-6219
Practice Address - Street 1:10 S OGLE AVE
Practice Address - Street 2:COLONIAL PARK
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1419
Practice Address - Country:US
Practice Address - Phone:302-376-0621
Practice Address - Fax:302-376-6219
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000310101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health