Janette Baucham, LMFT
Individual provider Active NPI Marriage & Family Therapist · Pacoima, CA
NPI 1265664783 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1265664783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 54027 (CA)
- Practice address
- 12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392 - Phone
- (818) 896-8366
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 54027 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 54027 | CA | Yes |
Addresses
Primary practice location
12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392
Mailing address
12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392
Other practice location 1
6851 Lennox Ave Ste 400
Van Nuys, CA 91405-4075
Phone (818) 989-9214
Other providers in Pacoima, CA
- Bridget Barni
- Alexandro Barrantes
- Molly Ann Bartos
- Nanci Anne Bates
- Brittney Batrez
- Imelda Bealer
- Noemi M Beck
- Esperanza Saucedo Bedolla
- Monique Benjamin
- Amy Bergholtz
All providers in Pacoima, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.