MEDICARE: JANAE PRUDENCE PANZER LMFT, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC 323	CA
2	106H00000X	Marriage & Family Therapist	42692	CA
3	106H00000X	Marriage & Family Therapist	MFC 42692	CA

General Provider Information

NPI Number	:	1366881856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAE PRUDENCE PANZER LMFT, LPCC

Provider Business Mailing Address
First Line	:	2240 SAINT GEORGE LN STE 7
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1310
Country	:	US
Telephone Number	:	530-592-0928
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 SAINT GEORGE LN STE 7
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1310
Country	:	US
Telephone Number	:	530-592-0928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	01/30/2024

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