Provider Demographics
NPI:1902162977
Name:RICHARD, JANECE W (LPC)
Entity Type:Individual
Prefix:
First Name:JANECE
Middle Name:W
Last Name:RICHARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JANECE
Other - Middle Name:MINELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8652 SWISS PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3655
Mailing Address - Country:US
Mailing Address - Phone:907-351-8438
Mailing Address - Fax:
Practice Address - Street 1:8652 SWISS PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3655
Practice Address - Country:US
Practice Address - Phone:907-351-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3636101YA0400X
AK620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)