Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jane Ellen Van Wagoner, MFT

Individual provider Marriage & Family Therapist · NPI 1972728657

Mrs. Jane Ellen Van Wagoner, MFT is a Marriage & Family Therapist in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

1370 Brea Blvd Ste 120
Fullerton, CA 92835-4123
Phone: (714) 738-1733
Fax: (714) 996-1013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MR022526 (CA)

Record details

NPI number1972728657
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007

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