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General NPI Number Information
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NPI Number | 1134682008
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Entity Type | Organization
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Legal Business Name | JANZ FAMILY THERAPY INCORPORATED
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 1357 W SHAW AVE STE 100
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City | FRESNO
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State | CA
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Zip | 93711-3619
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Country | US
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Telephone | 559-825-1205
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 W BULLARD AVE # 245
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City | FRESNO
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State | CA
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Zip | 93711-1200
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Country | US
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Telephone | 559-786-8794
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER WALKER JANZ
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Credential | LMFT
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Telephone | 559-825-1205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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