Individual provider · Type 1 NPI

Jane Susan Dewilde, MFTI

Marriage & Family Therapist · Fountain Valley, CA

NPI number 1114276904 Active

Practice location

352 Magpie Ln
Fountain Valley, CA 92708-5822

Call (714) 318-4543 Map

Other practice locations

  • 3359 Nevada Ave, Costa Mesa, CA 92626-2021 · (714) 318-4543

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X107315 (CA)
Marriage & Family Therapist Primary 106H00000XIMF69176 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1114276904

Jane Susan Dewilde, MFTI's National Provider Identifier is 1114276904, issued on Sep 7, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Nov 1, 2022.