Janeen Provazek Ma Ps
NPI #1669575247 in Gig Harbor, Washington
Provider Information
- NPI Number
- 1669575247
- Entity Type
- Organization
- Organization Name
- Janeen Provazek Ma Ps
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5800 SOUNDVIEW DR
- Address 2
- STE 101-D
- City
- Gig Harbor
- State
- Washington
- ZIP Code
- 98335-2077
- Phone
- (253) 851-6178
Authorized Official
- Name
- JANEEN PROVAZEK, MA
- Title
- PRESIDENT AND ONLY EMPLOYEE
- Phone
- (253) 851-6178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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