Provider Demographics
NPI:1053370866
Name:HENSARLING, JANICE L (MED, LPC, LCDC)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:L
Last Name:HENSARLING
Suffix:
Gender:F
Credentials:MED, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E COTTON ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-7415
Mailing Address - Country:US
Mailing Address - Phone:903-757-9383
Mailing Address - Fax:
Practice Address - Street 1:110 E COTTON ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-7415
Practice Address - Country:US
Practice Address - Phone:903-757-9383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional