Provider Demographics
NPI:1417077595
Name:ARJANI, JIM (MFT)
Entity Type:Individual
Prefix:MR
First Name:JIM
Middle Name:
Last Name:ARJANI
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2672 BAYSHORE PKWY
Mailing Address - Street 2:SUITE 602
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1001
Mailing Address - Country:US
Mailing Address - Phone:650-450-0102
Mailing Address - Fax:650-691-0166
Practice Address - Street 1:2672 BAYSHORE PKWY
Practice Address - Street 2:SUITE 602
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1001
Practice Address - Country:US
Practice Address - Phone:650-450-0102
Practice Address - Fax:650-691-0166
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist