MEDICARE: MRS. JANINE ELISE DOOLAN LMFT, PMH-C.

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	106H00000X	Marriage & Family Therapist	142230	CA

General Provider Information

NPI Number	:	1790419315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANINE ELISE DOOLAN LMFT, PMH-C.

Provider Business Mailing Address
First Line	:	9531 SANTA MONICA BLVD STE 1020
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4503
Country	:	US
Telephone Number	:	310-498-4984
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 ALAMO PINTADO RD STE 103
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93463-2266
Country	:	US
Telephone Number	:	310-498-4984
Fax Number	:

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

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	04/19/2026

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