Provider Demographics
NPI:1225160310
Name:SANCLEMENTE, JANIS (MS)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:
Last Name:SANCLEMENTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 W. CLINTON AVE
Mailing Address - Street 2:BUILDING A, SUITE 116
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-4201
Mailing Address - Country:US
Mailing Address - Phone:559-264-7521
Mailing Address - Fax:559-248-8555
Practice Address - Street 1:2550 W. CLINTON AVE
Practice Address - Street 2:BUILDING A, SUITE 116
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-9370
Practice Address - Country:US
Practice Address - Phone:559-264-7521
Practice Address - Fax:559-233-0016
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist