Provider Demographics
NPI:1699839456
Name:TOWNSEND, JANICE MARIE (LCSW-ACP, LCDC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LCSW-ACP, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7118 TRIMSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-6404
Mailing Address - Country:US
Mailing Address - Phone:281-998-2540
Mailing Address - Fax:
Practice Address - Street 1:201 E SAN AUGUSTINE ST
Practice Address - Street 2:SUITE A
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4151
Practice Address - Country:US
Practice Address - Phone:281-479-2295
Practice Address - Fax:281-479-2295
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical