Provider Demographics
NPI:1699033498
Name:SHAPIRO, JANICE LEE (LICENSED MFT)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LEE
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LICENSED MFT
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:LEE
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:2059 CAMDEN AVE
Mailing Address - Street 2:180
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2024
Mailing Address - Country:US
Mailing Address - Phone:408-832-3474
Mailing Address - Fax:
Practice Address - Street 1:3880 S BASCOM AVE
Practice Address - Street 2:216
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2674
Practice Address - Country:US
Practice Address - Phone:408-596-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor