Provider Demographics
NPI:1942456140
Name:CLAUS, JANE L (MFT)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:L
Last Name:CLAUS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:SAFFARRANS
Other - Last Name:CLAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:16480 HARBOR BLVD
Mailing Address - Street 2:104
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1361
Mailing Address - Country:US
Mailing Address - Phone:714-775-0777
Mailing Address - Fax:714-775-1026
Practice Address - Street 1:16480 HARBOR BLVD
Practice Address - Street 2:104
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1361
Practice Address - Country:US
Practice Address - Phone:714-775-0777
Practice Address - Fax:714-775-1026
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist