Basic Information
| Provider Information | |||||||||
| NPI: | 1720434301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCJUNKIN | ||||||||
| FirstName: | JANNA | ||||||||
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| Credential: | LPCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 RIDGEFIELD BLVD STE 190 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288066211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286707723 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 RIDGEFIELD BLVD STE 190 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288066211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286707723 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2016 | ||||||||
| LastUpdateDate: | 05/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | A12291 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.