Provider Demographics
NPI:1639897168
Name:BIONDI, JANE M (LPC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:BIONDI
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 1:6303 WINDSLOW CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2047
Mailing Address - Country:US
Mailing Address - Phone:608-770-4449
Mailing Address - Fax:
Practice Address - Street 1:6303 WINDSLOW CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2047
Practice Address - Country:US
Practice Address - Phone:608-770-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI612-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health