Provider Demographics
NPI:1518484708
Name:ANJALI, JANIECE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:JANIECE
Middle Name:
Last Name:ANJALI
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 ST CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-3606
Mailing Address - Country:US
Mailing Address - Phone:425-585-3982
Mailing Address - Fax:
Practice Address - Street 1:1860 ST CLAIR ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-3606
Practice Address - Country:US
Practice Address - Phone:425-585-3982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61107488101YM0800X
ORC7080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health