Provider Demographics
NPI:1568986552
Name:MUELLE, JANER JOY MONTINOLA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANER JOY
Middle Name:MONTINOLA
Last Name:MUELLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2901
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90632
Mailing Address - Country:US
Mailing Address - Phone:909-835-7972
Mailing Address - Fax:909-450-2637
Practice Address - Street 1:PO BOX 2901
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90632
Practice Address - Country:US
Practice Address - Phone:909-450-2502
Practice Address - Fax:909-450-2637
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1014841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program