Provider Demographics
NPI:1568632321
Name:BOND, JANE T (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:T
Last Name:BOND
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 1:2340 POWELL ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1738
Mailing Address - Country:US
Mailing Address - Phone:510-932-5566
Mailing Address - Fax:
Practice Address - Street 1:1305 FRANKLIN ST
Practice Address - Street 2:SUITE 504
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3213
Practice Address - Country:US
Practice Address - Phone:510-932-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45326106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist