Individual
DR. JANICE RAE NIANGANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3621 N SYDENHAM ST, PHILADELPHIA, PA 19140-4125
(267) 257-2511
Mailing address
PO BOX 25422, PHILADELPHIA, PA 19140-0622
(267) 257-2511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
09135607052010
FL
101YP2500X
Professional Counselor
Primary
09135607052010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09135607052010
PRIVATE PAY
FL
Enumeration date
09/13/2011
Last updated
09/13/2011
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