Individual
MR. KENNETH DUANE JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
125 E BARSTOW, #109, FRESNO, CA 93710
(559) 228-8778
(559) 228-8329
Mailing address
125 E BARSTOW, #109, FRESNO, CA 93710
(559) 228-8778
(559) 228-8329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC 27869
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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