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Individual

CHARLA G JANECKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-A

Contact information

Practice address
185 S KIMBALL AVE, SOUTHLAKE, TX 76092-1523
(817) 946-4433
Mailing address
2711 COUNTRY GLEN CT, KELLER, TX 76248-8300
(817) 946-4433

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
88010
TX
101YP2500X
Professional Counselor
Primary
88010
TX

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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