Provider Demographics
NPI:1972393981
Name:CONTRERAS-MUNOZ, JANIE MARIE (LSSP)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:MARIE
Last Name:CONTRERAS-MUNOZ
Suffix:
Gender:F
Credentials:LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 ROSIE LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7117
Mailing Address - Country:US
Mailing Address - Phone:512-905-3909
Mailing Address - Fax:
Practice Address - Street 1:801 WASHINGTON AVE STE 800
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1266
Practice Address - Country:US
Practice Address - Phone:254-710-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72300103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool