Provider Demographics
NPI:1528188042
Name:LAWVER, LEE CHRISTOPHER (MFT)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:CHRISTOPHER
Last Name:LAWVER
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:LAWVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:8581 SANTA MONICA BLVD # 238
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4120
Mailing Address - Country:US
Mailing Address - Phone:415-919-9795
Mailing Address - Fax:310-289-5953
Practice Address - Street 1:1111 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1513
Practice Address - Country:US
Practice Address - Phone:415-863-3883
Practice Address - Fax:415-863-7343
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40090106H00000X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist