Provider Demographics
NPI:1740249010
Name:PAPEDO, JANICE ALLEN (MFT, CNS)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:ALLEN
Last Name:PAPEDO
Suffix:
Gender:
Credentials:MFT, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:229 OAK SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-1326
Mailing Address - Country:US
Mailing Address - Phone:415-485-0323
Mailing Address - Fax:415-457-7734
Practice Address - Street 1:810 COLLEGE AVENUE, SUITE 8
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94960
Practice Address - Country:US
Practice Address - Phone:415-457-7734
Practice Address - Fax:415-457-1794
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 17510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist