Individual
JANEEN PROVAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5800 SOUND VIEW DR, STE 101-D, GIG HARBOR, WA 98335-2077
(253) 851-6178
(253) 851-6199
Mailing address
5800 SOUND VIEW 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
07/08/2007
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