Provider Demographics
NPI:1902201197
Name:JANGHA, AWA (LPC)
Entity Type:Individual
Prefix:DR
First Name:AWA
Middle Name:
Last Name:JANGHA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 49467
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78765-9467
Mailing Address - Country:US
Mailing Address - Phone:512-956-6239
Mailing Address - Fax:
Practice Address - Street 1:5608 AVENUE F
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1252
Practice Address - Country:US
Practice Address - Phone:512-956-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDATG084101YM0800X
TX76447101YM0800X
DCPRC14517101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health