Provider Demographics
NPI:1033615992
Name:HARTMAN, JILL ELAINE (LMFT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ELAINE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3279 KNOWLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2629
Mailing Address - Country:US
Mailing Address - Phone:415-520-8101
Mailing Address - Fax:
Practice Address - Street 1:3279 KNOWLAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2629
Practice Address - Country:US
Practice Address - Phone:415-520-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-31
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist