Provider Demographics
NPI:1235654138
Name:HARBER, JANA ELIZABETH (MS)
Entity Type:Individual
Prefix:MS
First Name:JANA
Middle Name:ELIZABETH
Last Name:HARBER
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 1:13586 GRAY HAWK CT.
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880
Mailing Address - Country:US
Mailing Address - Phone:909-248-3671
Mailing Address - Fax:909-342-1227
Practice Address - Street 1:9033 BASELINE RD. SUITE K
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-248-3671
Practice Address - Fax:909-342-1227
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist