Individual provider · Type 1 NPI

Jan Louise Wagniere, LCSW, MFC

Marriage & Family Therapist · Huntington Beach, CA

NPI number 1669553962 Active

Practice location

16052 Beach Blvd, Suite 214
Huntington Beach, CA 92647-3801

Mailing address

28321 Camino La Ronda
San Juan Capistrano, CA 92675-5808

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6289 (CA)
Marriage & Family Therapist Primary 106H00000X13001 (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 1669553962

Jan Louise Wagniere, LCSW, MFC's National Provider Identifier is 1669553962, issued on Oct 17, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Huntington Beach, CA. The record was last updated on Sep 11, 2025.