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Individual

DR. LUIS A JANSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
769 AMHERST CIR, SONOMA, CA 95476-4107
(707) 939-1670
(707) 939-1670
Mailing address
769 AMHERST CIR, SONOMA, CA 95476-4107
(707) 939-1670
(707) 939-1670

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8820
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY088200
CA
Enumeration date
11/25/2005
Last updated
03/14/2013
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