Provider Demographics
NPI:1093903171
Name:BUCHHOLZ, JANET (MFT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BUCHHOLZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 RENATO CT
Mailing Address - Street 2:SUITE 3
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-4093
Mailing Address - Country:US
Mailing Address - Phone:650-368-9009
Mailing Address - Fax:650-367-7867
Practice Address - Street 1:61 RENATO CT
Practice Address - Street 2:SUITE 3
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-4093
Practice Address - Country:US
Practice Address - Phone:650-368-9009
Practice Address - Fax:650-367-7867
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 17731106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist