Provider Demographics
NPI:1134558703
Name:LEFEBVRE, JAMIE (LMHC)
Entity type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 PLEASANT ST APT 2L
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3995
Mailing Address - Country:US
Mailing Address - Phone:201-724-2793
Mailing Address - Fax:
Practice Address - Street 1:285 PLEASANT ST APT 2L
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3995
Practice Address - Country:US
Practice Address - Phone:201-724-2793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MA12811-MH-CC101YM0800X
MA531858101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool