Provider Demographics
NPI:1144966557
Name:SELTZER, JANICE H (MS, LPC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:H
Last Name:SELTZER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 WOODED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4751
Mailing Address - Country:US
Mailing Address - Phone:214-597-4686
Mailing Address - Fax:972-406-8556
Practice Address - Street 1:751 HEBRON PKWY # 305-A
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5055
Practice Address - Country:US
Practice Address - Phone:214-597-4686
Practice Address - Fax:972-406-8556
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63926101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional