Provider Demographics
NPI:1972905008
Name:PING, JANIE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:
Last Name:PING
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 JACKSBORO ST
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:KY
Mailing Address - Zip Code:42533-9556
Mailing Address - Country:US
Mailing Address - Phone:606-219-0614
Mailing Address - Fax:
Practice Address - Street 1:703 JACKSBORO ST
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:KY
Practice Address - Zip Code:42533-9556
Practice Address - Country:US
Practice Address - Phone:606-219-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional