Basic Information
Provider Information
NPI: 1164837084
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: JANICE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1385
Address2:  
City: PARKERSBURG
State: WV
PostalCode: 261021385
CountryCode: US
TelephoneNumber: 3044221405
FaxNumber: 3044854466
Practice Location
Address1: 207 COLEGATE DR
Address2:  
City: MARIETTA
State: OH
PostalCode: 457502363
CountryCode: US
TelephoneNumber: 7403760930
FaxNumber: 7403760933
Other Information
ProviderEnumerationDate: 06/30/2014
LastUpdateDate: 06/30/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XC1300507OHY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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