Provider Demographics
NPI:1659781391
Name:JANZ, HEATHER WALKER (BA, MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:WALKER
Last Name:JANZ
Suffix:
Gender:F
Credentials:BA, MS, LMFT
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA, MS, LMFT
Mailing Address - Street 1:2037 W BULLARD AVE
Mailing Address - Street 2:#245
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1200
Mailing Address - Country:US
Mailing Address - Phone:559-825-1205
Mailing Address - Fax:
Practice Address - Street 1:1357 W SHAW AVE STE 100
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3619
Practice Address - Country:US
Practice Address - Phone:559-825-1205
Practice Address - Fax:559-702-6574
Is Sole Proprietor?:No
Enumeration Date:2014-05-03
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68385106H00000X
CA94996106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist