Provider Demographics
NPI:1366641920
Name:THOMAS, JAIME LYNN (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:LYNN
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3171 S SEPULVEDA BLVD
Mailing Address - Street 2:APT. 305
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-4217
Mailing Address - Country:US
Mailing Address - Phone:310-975-9245
Mailing Address - Fax:
Practice Address - Street 1:2130 E 1ST ST
Practice Address - Street 2:SUITE 250
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-3958
Practice Address - Country:US
Practice Address - Phone:323-261-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist