Provider Demographics
NPI:1396949574
Name:GALT, JANICE MARIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:MARIE
Last Name:GALT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:MARIE
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1539 W GARVEY AVE N
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2139
Mailing Address - Country:US
Mailing Address - Phone:626-856-3083
Mailing Address - Fax:
Practice Address - Street 1:1539 W GARVEY AVE N
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2139
Practice Address - Country:US
Practice Address - Phone:626-856-3083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist