Provider Demographics
NPI:1750505012
Name:GEHRMAN, JANELL R (LCS12589)
Entity Type:Individual
Prefix:MS
First Name:JANELL
Middle Name:R
Last Name:GEHRMAN
Suffix:
Gender:F
Credentials:LCS12589
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 COUNTY HOSPITAL RD STE 109
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9126
Mailing Address - Country:US
Mailing Address - Phone:530-283-6370
Mailing Address - Fax:530-283-6045
Practice Address - Street 1:270 COUNTY HOSPITAL RD STE 109
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9126
Practice Address - Country:US
Practice Address - Phone:530-283-6370
Practice Address - Fax:530-283-6045
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS125891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical