Provider Demographics
NPI:1346307840
Name:ARIEL, JANE (MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:ARIEL
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3164 SHEFFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1544
Mailing Address - Country:US
Mailing Address - Phone:510-261-1334
Mailing Address - Fax:510-261-1334
Practice Address - Street 1:3164 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1544
Practice Address - Country:US
Practice Address - Phone:510-261-1334
Practice Address - Fax:510-261-1334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMM19904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health