Provider Demographics
NPI:1528159142
Name:WHITEGIVER, JANELLE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:
Last Name:WHITEGIVER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 MANZANITA AVE
Mailing Address - Street 2:STE B
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1360
Mailing Address - Country:US
Mailing Address - Phone:530-893-9077
Mailing Address - Fax:530-893-9071
Practice Address - Street 1:562 MANZANITA AVE
Practice Address - Street 2:STE B
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1360
Practice Address - Country:US
Practice Address - Phone:530-893-9077
Practice Address - Fax:530-893-9071
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist