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NPI 1659781391

NPI 1659781391 : HEATHER WALKER JANZ B.A., M.S., LMFT : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1659781391
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER WALKER JANZ B.A., M.S., LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2014
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    Last Update Date     |    01/09/2023
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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                  |    559-702-6574
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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            |    559-825-1205
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    68385
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    94996
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    License Number State |    CA
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