Provider Demographics
NPI:1417238171
Name:SCHMIDT, JANELLE MARIE (MFT)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:MARIE
Last Name:SCHMIDT
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 1:588 BLOSSOM HILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3211
Mailing Address - Country:US
Mailing Address - Phone:408-410-9552
Mailing Address - Fax:408-629-5709
Practice Address - Street 1:588 BLOSSOM HILL RD STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3211
Practice Address - Country:US
Practice Address - Phone:408-410-9552
Practice Address - Fax:408-629-5709
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist