Provider Demographics
NPI:1265730626
Name:RUMBERGER, JANIE LEE (MED,MA,LMHC)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:LEE
Last Name:RUMBERGER
Suffix:
Gender:F
Credentials:MED,MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-8764
Mailing Address - Country:US
Mailing Address - Phone:150-986-8784
Mailing Address - Fax:150-946-8789
Practice Address - Street 1:224 W GARDEN CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-8764
Practice Address - Country:US
Practice Address - Phone:150-986-8784
Practice Address - Fax:150-946-8789
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAL H 60093418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional