Childress, Janice M.

Childress, Janice M. is an individual health care provider with primary practice located at 702 S Washington Ave , Bryan TX 77803-3985. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Childress, Janice M. can be contacted via phone (979) 779-2864.

Contact Information

Primary practice address
702 S Washington Ave Bryan TX 77803-3985
Phone: (979) 779-2864
Fax: (979) 779-8522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14921 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 12038 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1366561896
LBN Legal business name Childress, Janice M.
Credentials M.ED., LPC, LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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