Provider Demographics
NPI:1679770192
Name:BAHR-CROW, JANELL CATHERINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JANELL
Middle Name:CATHERINE
Last Name:BAHR-CROW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 CANYON CREST DR STE 411
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6361
Mailing Address - Country:US
Mailing Address - Phone:951-248-4012
Mailing Address - Fax:
Practice Address - Street 1:6626 CATALINA DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-1800
Practice Address - Country:US
Practice Address - Phone:951-781-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS8562101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor