Individual
ELIZABETH JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3207 N FRONT ST, HARRISBURG, PA 17110-1311
(717) 901-5652
Mailing address
3207 N FRONT ST, HARRISBURG, PA 17110-1311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW129954
PA
101YM0800X
Mental Health Counselor
Primary
SW129954
PA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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