Provider Demographics
NPI:1972134419
Name:OKMAN, JANET SARA (MFT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:SARA
Last Name:OKMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:OKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:6 KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2326
Mailing Address - Country:US
Mailing Address - Phone:917-406-1048
Mailing Address - Fax:
Practice Address - Street 1:6 KNOLL LN
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2326
Practice Address - Country:US
Practice Address - Phone:917-406-1048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist