Provider Demographics
NPI:1902192883
Name:JEREMY, JOANNA (LMFT)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:JEREMY
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 1:3710 LONE TREE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6018
Mailing Address - Country:US
Mailing Address - Phone:925-325-3371
Mailing Address - Fax:925-778-6915
Practice Address - Street 1:613 1ST ST
Practice Address - Street 2:SUITE 213
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1397
Practice Address - Country:US
Practice Address - Phone:925-325-3371
Practice Address - Fax:925-778-6915
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health