Provider Demographics
NPI:1801443296
Name:THOMPSON, JANETTE
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 SNAKE RD
Mailing Address - Street 2:
Mailing Address - City:COLVER
Mailing Address - State:PA
Mailing Address - Zip Code:15927-4200
Mailing Address - Country:US
Mailing Address - Phone:814-659-9900
Mailing Address - Fax:
Practice Address - Street 1:3135 NEW GERMANY RD STE 34
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4347
Practice Address - Country:US
Practice Address - Phone:814-999-0857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor