Jane Victoria Farley, LMHC, MFT
Individual provider Active NPI Marriage & Family Therapist · Sausalito, CA
NPI 1619954245 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1619954245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 46468 (CA)
- Practice address
- 501 Caledonia St
Sausalito, CA 94965-1929 - Phone
- (310) 498-0800
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 46468 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46468 | CA | Yes |
Addresses
Primary practice location
501 Caledonia St
Sausalito, CA 94965-1929
Mailing address
14 Marie St Unit B
Sausalito, CA 94965-1876
Phone (310) 498-0800
Other providers in Sausalito, CA
- Carter C Evans
- Stephanie Evans
- Tamara Falvai
- Jeffrey Lawrence Farber
- Shala Rahbar Fardin
- Leni Michelle Felton
- Sara E Fenton
- Celina Noelle Fine
- Cheri J. Forrester
- Edward Fotsch
All providers in Sausalito, 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 21, 2023. 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.