Provider Demographics
NPI:1548764418
Name:KLAAS, JANELLE KIRSTEN (LMFT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:KIRSTEN
Last Name:KLAAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18809 COX AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6618
Mailing Address - Country:US
Mailing Address - Phone:408-350-1820
Mailing Address - Fax:408-372-6818
Practice Address - Street 1:18809 COX AVE STE 180
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6618
Practice Address - Country:US
Practice Address - Phone:408-350-1820
Practice Address - Fax:408-372-6818
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104471106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist