Provider Demographics
NPI:1639533938
Name:JARYN L. WARREN, MARRIAGE AND FAMILY THERAPIST, INC.
Entity type:Organization
Organization Name:JARYN L. WARREN, MARRIAGE AND FAMILY THERAPIST, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:JARYN
Authorized Official - Middle Name:LANEE
Authorized Official - Last Name:WARREN-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS
Authorized Official - Phone:559-573-7991
Mailing Address - Street 1:6083 N FIGARDEN DR # 209
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3226
Mailing Address - Country:US
Mailing Address - Phone:559-573-7991
Mailing Address - Fax:
Practice Address - Street 1:6103 N 1ST ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5461
Practice Address - Country:US
Practice Address - Phone:559-573-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT88234106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty