Provider Demographics
NPI:1871366377
Name:SUTHERLAND, JANNA MORRISON (LPC)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:MORRISON
Last Name:SUTHERLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 ABBOTTS WAY
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6353
Mailing Address - Country:US
Mailing Address - Phone:205-914-0396
Mailing Address - Fax:
Practice Address - Street 1:4343 ABBOTTS WAY
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-6353
Practice Address - Country:US
Practice Address - Phone:205-914-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional