Provider Demographics
NPI:1295272540
Name:STULCE, JANET M (MCCC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:STULCE
Suffix:
Gender:F
Credentials:MCCC
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 155
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75802-0155
Mailing Address - Country:US
Mailing Address - Phone:903-391-1769
Mailing Address - Fax:903-538-2028
Practice Address - Street 1:3662 ANDERSON CR 359
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75803
Practice Address - Country:US
Practice Address - Phone:903-391-1769
Practice Address - Fax:903-538-2028
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral