Provider Demographics
NPI:1164007845
Name:LAWTON, JEFFREY (MA, AMFT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:LAWTON
Suffix:
Gender:M
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 426598
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94142-6598
Mailing Address - Country:US
Mailing Address - Phone:415-650-9900
Mailing Address - Fax:
Practice Address - Street 1:220 MONTGOMERY ST STE 600
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3448
Practice Address - Country:US
Practice Address - Phone:415-650-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist