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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANE SUSAN DEWILDE, MFTI

Active Sole Proprietor

JANE SUSAN DEWILDE, MFTI is a Marriage & Family Therapist healthcare provider located in FOUNTAIN VALLEY, California. NPI 1114276904 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · FOUNTAIN VALLEY, CA

Registration Details

NPI Number
1114276904
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2012 (13.947425709634 yrs)
Last Updated
Nov 1, 2022
Licenses
107315 (CA)
IMF69176 (CA)
Sole Proprietor
Yes

Practice Information

Address
352 MAGPIE LN
FOUNTAIN VALLEY, CA, 927085822
Browse CA providers · Browse ZIP 92708
Phone
7143184543
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in FOUNTAIN VALLEY, CA

Name Credential NPI
MS. ARLENE MAZAK LMFT 1740285790
MS. DEBORA JEAN LUKEN MFT 1679592901
MS. ANHTHU THI DANG M.S. 1841303385
MR. ALLAN BRYAN HEREM 1851403547
MS. KARLA RENEE LOPEZ M.S. 1952470445
MR. TODD HUISKEN MFT 1417024407
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.