Provider Demographics
NPI:1538176953
Name:EVANS, JANELLE GORALSKI (NCC, LPC)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:GORALSKI
Last Name:EVANS
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 YORKLYN RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8704
Mailing Address - Country:US
Mailing Address - Phone:302-234-9907
Mailing Address - Fax:302-234-9961
Practice Address - Street 1:724 YORKLYN RD
Practice Address - Street 2:SUITE 250
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8704
Practice Address - Country:US
Practice Address - Phone:302-234-9907
Practice Address - Fax:302-234-9961
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional