Provider Demographics
NPI:1487711883
Name:MAES, JANELLE M SR (LCMFT)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:M
Last Name:MAES
Suffix:SR
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-1401
Mailing Address - Country:US
Mailing Address - Phone:913-367-0105
Mailing Address - Fax:913-367-0105
Practice Address - Street 1:1225 N 2ND ST
Practice Address - Street 2:RAMSEY MEDICAL BLDG. LOWER LEVEL
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-1401
Practice Address - Country:US
Practice Address - Phone:913-367-0105
Practice Address - Fax:913-367-0105
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist