Provider Demographics
NPI:1770773186
Name:PULS, JANINE M (LCSW)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:M
Last Name:PULS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 GREENLEAF AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4138
Mailing Address - Country:US
Mailing Address - Phone:562-945-0969
Mailing Address - Fax:562-945-3292
Practice Address - Street 1:6503 GREENLEAF AVE STE A
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4138
Practice Address - Country:US
Practice Address - Phone:562-945-0969
Practice Address - Fax:562-945-3292
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 157521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical