Provider Demographics
NPI:1821362245
Name:JAN DICE CONSULTING
Entity Type:Organization
Organization Name:JAN DICE CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DICE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-248-6455
Mailing Address - Street 1:5518 BENTGREEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2014
Mailing Address - Country:US
Mailing Address - Phone:972-248-6455
Mailing Address - Fax:972-818-1885
Practice Address - Street 1:17304 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5618
Practice Address - Country:US
Practice Address - Phone:972-248-6455
Practice Address - Fax:972-818-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty