Provider Demographics
NPI:1720263106
Name:JANUSCHEITIS, DON D
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:D
Last Name:JANUSCHEITIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E N ST
Mailing Address - Street 2:38
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-1875
Mailing Address - Country:US
Mailing Address - Phone:509-457-6762
Mailing Address - Fax:
Practice Address - Street 1:302 E N ST
Practice Address - Street 2:38
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-1875
Practice Address - Country:US
Practice Address - Phone:509-457-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor