Provider Demographics
NPI:1609523554
Name:JEAN LAMPERT MARRIAGE & FAMILY THERAPY INC
Entity Type:Organization
Organization Name:JEAN LAMPERT MARRIAGE & FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-223-5219
Mailing Address - Street 1:PO BOX 6538
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93006-6538
Mailing Address - Country:US
Mailing Address - Phone:805-223-5219
Mailing Address - Fax:
Practice Address - Street 1:5210 RADCLIFF ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2134
Practice Address - Country:US
Practice Address - Phone:805-223-5219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health