Provider Demographics
NPI:1598165821
Name:MEINTS, JANNA MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:MARIE
Last Name:MEINTS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:JANNA
Other - Middle Name:MARIE
Other - Last Name:FABRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:1911 WILLIAMS DR STE 165
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2612
Mailing Address - Country:US
Mailing Address - Phone:866-998-2243
Mailing Address - Fax:805-981-4204
Practice Address - Street 1:1911 WILLIAMS DR STE 165
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2612
Practice Address - Country:US
Practice Address - Phone:866-998-2243
Practice Address - Fax:805-981-4204
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF76002101YM0800X
CA99932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health