Provider Demographics
NPI:1316145725
Name:STOFFERAHN, JANE FURFARI (MA MFT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:FURFARI
Last Name:STOFFERAHN
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 W OAKEY BLVD
Mailing Address - Street 2:SUITE 111W
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-221-2929
Mailing Address - Fax:702-258-3086
Practice Address - Street 1:4550 W OAKEY BLVD
Practice Address - Street 2:SUITE 111W
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-221-2929
Practice Address - Fax:702-258-3086
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist