Whalio Doctors

NPI 1255475497

Jennifer Marie Crane, MFTI

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility San Jose, CA

Practice location

Address
455 Silicon Valley Blvd, San Jose, CA 95138-1858
Phone
(408) 284-9022
Mailing address
5631 Bluegrass Ln, San Jose, CA 95118-3514

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 106H00000X (CA)

Registry record

NPI
1255475497
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.