Provider Demographics
NPI:1124261466
Name:AULD, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:AULD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:AULD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MDIV, LPC
Mailing Address - Street 1:2533 OKELLY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-0831
Mailing Address - Country:US
Mailing Address - Phone:919-265-3080
Mailing Address - Fax:
Practice Address - Street 1:2533 OKELLY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-0831
Practice Address - Country:US
Practice Address - Phone:919-265-3080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6852101YP2500X
IL180.005977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional