Provider Demographics
NPI:1700234556
Name:ORR, JANICE (LPC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 W TRUMAN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-5752
Mailing Address - Country:US
Mailing Address - Phone:573-644-7909
Mailing Address - Fax:573-644-7908
Practice Address - Street 1:3401 W TRUMAN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-5752
Practice Address - Country:US
Practice Address - Phone:573-644-7909
Practice Address - Fax:573-644-7908
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001005091101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional