Provider Demographics
NPI:1760849806
Name:AULT, JANELLE MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:MARIE
Last Name:AULT
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:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93116-0125
Mailing Address - Country:US
Mailing Address - Phone:805-869-6600
Mailing Address - Fax:
Practice Address - Street 1:130 S PATTERSON AVE UNIT 125
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93116-7008
Practice Address - Country:US
Practice Address - Phone:805-869-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90564106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist