Individual provider · Type 1 NPI

Jennifer Marie Crane, MFTI

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

NPI number 1255475497 Active

Practice location

455 Silicon Valley Blvd
San Jose, CA 95138-1858

Call (408) 284-9022 Map

Mailing address

5631 Bluegrass Ln
San Jose, CA 95118-3514

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X106H00000X (CA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1255475497

Jennifer Marie Crane, MFTI's National Provider Identifier is 1255475497, issued on Feb 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.