Provider Demographics
NPI:1245653294
Name:CONSTANTINE, JANET DIANNE (LMHC CET II)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:DIANNE
Last Name:CONSTANTINE
Suffix:
Gender:F
Credentials:LMHC CET II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9822 TAPESTRY PARK CIR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-9258
Mailing Address - Country:US
Mailing Address - Phone:904-637-1708
Mailing Address - Fax:904-207-7897
Practice Address - Street 1:9822 TAPESTRY PARK CIR
Practice Address - Street 2:SUITE 206
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9258
Practice Address - Country:US
Practice Address - Phone:904-637-1708
Practice Address - Fax:904-207-7897
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 3146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health