Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JANE ELLEN VAN WAGONER, MFT
Active Sole ProprietorMRS. JANE ELLEN VAN WAGONER, MFT is a Marriage & Family Therapist healthcare provider located in FULLERTON, California. NPI 1972728657 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · FULLERTON, CA
Registration Details
- NPI Number
- 1972728657
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2007 (19.336017745881 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MR022526 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1370 BREA BLVD STE 120FULLERTON, CA, 928354123Browse CA providers · Browse ZIP 92835
- Phone
- 7147381733
- Fax
- 7149961013
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CANDYCE ZITO | PSY.D. MFT | 1912901422 |
| MRS. MARIA S XANTHOS | MFT | 1235101577 |
| MS. ELLEN T TROJNAR | MS | 1578501284 |
| DR. JERRY R KUHN | PH.D. | 1437190568 |
| MR. G. WAYNE BRAZIL | MA,LMFTCAL.#MFC34554 | 1477581254 |
| MS. SHARON ELAINE KIEL | LMFT | 1982620613 |
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.