Provider Demographics
NPI:1588773857
Name:LAQUE, JANIE (PHD, LMFT, LMSW)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:LAQUE
Suffix:
Gender:F
Credentials:PHD, LMFT, LMSW
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 6431
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-6431
Mailing Address - Country:US
Mailing Address - Phone:281-463-3932
Mailing Address - Fax:281-463-4032
Practice Address - Street 1:1200 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1956
Practice Address - Country:US
Practice Address - Phone:713-222-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker