Individual
JANAE W. HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1133 JEFFERSON GREEN CIR, SUITE100, MIDLOTHIAN, VA 23113-4300
(804) 751-0453
(804) 796-1997
Mailing address
PO BOX 555, MIDLOTHIAN, VA 23113-0555
(804) 794-7777
(804) 794-7281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010005141
—
VA
Enumeration date
04/04/2006
Last updated
09/21/2016
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