Provider Demographics
NPI:1295931244
Name:LOCKWOOD, HELEN (MFT)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 SCENIC AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-3023
Mailing Address - Country:US
Mailing Address - Phone:510-482-8663
Mailing Address - Fax:510-769-1824
Practice Address - Street 1:1910 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2623
Practice Address - Country:US
Practice Address - Phone:510-864-3505
Practice Address - Fax:510-769-1824
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist