Provider Demographics
NPI:1225493935
Name:LAWSON, JENNEFER L (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNEFER
Middle Name:L
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENNEFER
Other - Middle Name:L
Other - Last Name:LUPERCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:20241 VALLEY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8746
Mailing Address - Country:US
Mailing Address - Phone:661-822-8979
Mailing Address - Fax:661-822-5729
Practice Address - Street 1:20241 VALLEY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8746
Practice Address - Country:US
Practice Address - Phone:661-822-8979
Practice Address - Fax:661-822-5729
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT110587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist