Provider Demographics
NPI:1275741118
Name:DION, JANET EMILY (MFT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:EMILY
Last Name:DION
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 1:2401 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-2736
Mailing Address - Country:US
Mailing Address - Phone:310-535-7916
Mailing Address - Fax:
Practice Address - Street 1:2401 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2736
Practice Address - Country:US
Practice Address - Phone:310-535-7916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist