Provider Demographics
NPI:1801971346
Name:JUDGE, JANEL W (LMHC)
Entity type:Individual
Prefix:MS
First Name:JANEL
Middle Name:W
Last Name:JUDGE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 RIDGE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14211-2840
Mailing Address - Country:US
Mailing Address - Phone:716-220-0260
Mailing Address - Fax:716-220-0260
Practice Address - Street 1:25 RIDGE PARK AVE
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14211-2840
Practice Address - Country:US
Practice Address - Phone:716-220-0260
Practice Address - Fax:716-220-0260
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NY18-004185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)