Provider Demographics
NPI:1801979695
Name:MCRAE, JANALENE C (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANALENE
Middle Name:C
Last Name:MCRAE
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 1:490 HARMONY DR.
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336
Mailing Address - Country:US
Mailing Address - Phone:928-301-5454
Mailing Address - Fax:
Practice Address - Street 1:70 N PAYNE PL
Practice Address - Street 2:SUITE 6
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-4536
Practice Address - Country:US
Practice Address - Phone:928-301-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-106141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical