Provider Demographics
NPI:1083855118
Name:TARZIA, JANE A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:A
Last Name:TARZIA
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 1:23717 HAWTHORNE BLVD.
Mailing Address - Street 2:#205
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-748-5700
Mailing Address - Fax:310-378-7626
Practice Address - Street 1:23717 HAWTHORNE BLVD.
Practice Address - Street 2:#205
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-748-5700
Practice Address - Fax:310-378-7626
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39906106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist