Provider Demographics
NPI:1760799035
Name:RHODES-CARLSON, JANET MARIAN (MSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIAN
Last Name:RHODES-CARLSON
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 1:200 PROFESSIONAL COURT, SUITE A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47903
Mailing Address - Country:US
Mailing Address - Phone:765-449-1992
Mailing Address - Fax:765-449-2054
Practice Address - Street 1:200A PROFESSIONAL COURT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4967
Practice Address - Country:US
Practice Address - Phone:765-449-1992
Practice Address - Fax:765-449-2054
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health