Individual
MISS JENNIFER MARIE CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9022
Mailing address
5631 BLUEGRASS LN, SAN JOSE, CA 95118-3514
(408) 219-5213
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
106H00000X
CA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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