Provider Demographics
NPI:1114118783
Name:YANCHESON, JANICE LYNN (LPC, RN)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LYNN
Last Name:YANCHESON
Suffix:
Gender:F
Credentials:LPC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VIEW POINTE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-8621
Mailing Address - Country:US
Mailing Address - Phone:828-837-0261
Mailing Address - Fax:
Practice Address - Street 1:120 VIEW POINTE DR
Practice Address - Street 2:SUITE F
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-8621
Practice Address - Country:US
Practice Address - Phone:828-837-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6646101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103712Medicaid