Provider Demographics
NPI:1952476962
Name:JANSSENS, SADIE MAE WEHN (MFT,PHD)
Entity Type:Individual
Prefix:DR
First Name:SADIE MAE
Middle Name:WEHN
Last Name:JANSSENS
Suffix:
Gender:F
Credentials:MFT,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 TOWNSGATE RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2405
Mailing Address - Country:US
Mailing Address - Phone:805-496-2198
Mailing Address - Fax:805-375-0157
Practice Address - Street 1:2239 TOWNSGATE RD
Practice Address - Street 2:SUITE 208
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2405
Practice Address - Country:US
Practice Address - Phone:805-496-2198
Practice Address - Fax:805-375-0157
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 28495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist