Provider Demographics
NPI:1225347305
Name:LANE, JAMIEKO MARIE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JAMIEKO
Middle Name:MARIE
Last Name:LANE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 UNIVERSITY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6508
Mailing Address - Country:US
Mailing Address - Phone:916-237-7455
Mailing Address - Fax:
Practice Address - Street 1:425 UNIVERSITY AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6508
Practice Address - Country:US
Practice Address - Phone:916-237-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist