Provider Demographics
NPI:1568649184
Name:GOSS, JANET BETH (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:BETH
Last Name:GOSS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:992 1/2 GREEN BAY ROAD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1779
Mailing Address - Country:US
Mailing Address - Phone:847-446-8060
Mailing Address - Fax:
Practice Address - Street 1:992 1/2 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-1722
Practice Address - Country:US
Practice Address - Phone:847-446-8060
Practice Address - Fax:847-446-9768
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional