Provider Demographics
NPI:1619730892
Name:BARMANN, JANICE RACHELLE (LCPC, ATR-BC, CDVP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:RACHELLE
Last Name:BARMANN
Suffix:
Gender:F
Credentials:LCPC, ATR-BC, CDVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 HERRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-3737
Mailing Address - Country:US
Mailing Address - Phone:630-605-9455
Mailing Address - Fax:
Practice Address - Street 1:411 HERRINGTON PL
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-3737
Practice Address - Country:US
Practice Address - Phone:630-605-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
23-532221700000X
IL180.014790101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist