Provider Demographics
NPI:1316256019
Name:PALOMINO, JANETHLYN (LMHC)
Entity type:Individual
Prefix:MS
First Name:JANETHLYN
Middle Name:
Last Name:PALOMINO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9781 SUNRISE LAKES BLVD APT 210
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6244
Mailing Address - Country:US
Mailing Address - Phone:954-295-9911
Mailing Address - Fax:
Practice Address - Street 1:9781 SUNRISE LAKES BLVD APT 210
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-6244
Practice Address - Country:US
Practice Address - Phone:954-295-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health