Provider Demographics
NPI:1366604795
Name:JANVIER, DAVID L (MA, LPC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:JANVIER
Suffix:
Gender:M
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 1:8500 BROOKTREE RD
Mailing Address - Street 2:STE 230
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9287
Mailing Address - Country:US
Mailing Address - Phone:412-580-0824
Mailing Address - Fax:
Practice Address - Street 1:8500 BROOKTREE RD
Practice Address - Street 2:STE 230
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9287
Practice Address - Country:US
Practice Address - Phone:412-580-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004863101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional