Provider Demographics
NPI:1376700344
Name:WELLMAN, JANA MARIE (MFT-I)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:MARIE
Last Name:WELLMAN
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:MARIE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9065 SPANISH TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89441-9236
Mailing Address - Country:US
Mailing Address - Phone:775-722-9146
Mailing Address - Fax:
Practice Address - Street 1:3275 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:WASHOE VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89704-9249
Practice Address - Country:US
Practice Address - Phone:775-849-3434
Practice Address - Fax:775-849-3435
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor