Individual
JANICE LEE TITHERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
RADIANT CHRISTIAN COUNSELING, 2101 N LAKEWOOD DRIVE, SUITE 222, COEUR D'ALENE, ID 83814
(208) 274-3320
Mailing address
2101 N LAKEWOOD DR STE 222, COEUR D ALENE, ID 83814-2473
(208) 274-3320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
32486
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT-7611
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32486
LMFT
CA
01
—
LMFT-7611
LMFT
ID
Enumeration date
03/08/2007
Last updated
07/20/2022
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