Provider Demographics
NPI:1295579118
Name:JANICE M PALM MA LMHC INC
Entity type:Organization
Organization Name:JANICE M PALM MA LMHC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-781-3532
Mailing Address - Street 1:11416 SLATER AVE NE STE 202C
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4600
Mailing Address - Country:US
Mailing Address - Phone:206-781-3532
Mailing Address - Fax:206-279-7630
Practice Address - Street 1:11416 SLATER AVE NE STE 202C
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4600
Practice Address - Country:US
Practice Address - Phone:206-781-3532
Practice Address - Fax:206-279-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health