Provider Demographics
NPI:1942397674
Name:CHINN, JANICE L (MSE LMHP CPC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:L
Last Name:CHINN
Suffix:
Gender:F
Credentials:MSE LMHP CPC
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:L
Other - Last Name:HOHBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 W 7TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1302
Mailing Address - Country:US
Mailing Address - Phone:402-833-5246
Mailing Address - Fax:402-833-5283
Practice Address - Street 1:220 W 7TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1302
Practice Address - Country:US
Practice Address - Phone:402-833-5246
Practice Address - Fax:402-833-5283
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2334101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
97058OtherBCBS AUX
84325OtherBCBS