Provider Demographics
NPI:1366881856
Name:PANZER, JANAE PRUDENCE (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:PRUDENCE
Last Name:PANZER
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 SAINT GEORGE LN STE 7
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1310
Mailing Address - Country:US
Mailing Address - Phone:530-592-0928
Mailing Address - Fax:
Practice Address - Street 1:2240 SAINT GEORGE LN STE 7
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1310
Practice Address - Country:US
Practice Address - Phone:530-592-0928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC 323101YP2500X
CA42692106H00000X
CAMFC 42692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional