Provider Demographics
NPI:1700933942
Name:JANSSENS, WILLIAM P (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:JANSSENS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 E 33RD PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2338
Mailing Address - Country:US
Mailing Address - Phone:918-743-6707
Mailing Address - Fax:
Practice Address - Street 1:2646 E 33RD PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2338
Practice Address - Country:US
Practice Address - Phone:918-743-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2716101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health