Organization
JANEEN PROVAZEK MA PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEEN PROVAZEK MA (PRESIDENT AND ONLY EMPLOYEE)
(253) 851-6178
Entity
Organization
Contact information
Practice address
5800 SOUNDVIEW DR, STE 101-D, GIG HARBOR, WA 98335-2077
(253) 851-6178
(253) 851-6199
Mailing address
5800 SOUNDVIEW DR, STE 101-D, GIG HARBOR, WA 98335-2077
(253) 851-6178
(253) 851-6199
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001337
WA
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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