Provider Demographics
NPI:1538491667
Name:STEFANI, JANE MURRAY (MFT)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:MURRAY
Last Name:STEFANI
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 1:1745 SARATOGA AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-5207
Mailing Address - Country:US
Mailing Address - Phone:408-517-1143
Mailing Address - Fax:650-967-8614
Practice Address - Street 1:1745 SARATOGA AVE STE 209
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5207
Practice Address - Country:US
Practice Address - Phone:408-517-1143
Practice Address - Fax:650-967-8614
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34198101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor