Provider Demographics
NPI:1659012342
Name:NIEHUS, JANNA R (MA)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:R
Last Name:NIEHUS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 ROGERS WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-2660
Mailing Address - Country:US
Mailing Address - Phone:406-580-1656
Mailing Address - Fax:
Practice Address - Street 1:836 ROGERS WAY
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2660
Practice Address - Country:US
Practice Address - Phone:406-580-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health