Provider Demographics
NPI:1447040191
Name:SU, JEFF LAMDUY (AMFT #143898)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:LAMDUY
Last Name:SU
Suffix:
Gender:
Credentials:AMFT #143898
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 8TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2726
Mailing Address - Country:US
Mailing Address - Phone:415-504-2140
Mailing Address - Fax:
Practice Address - Street 1:165 8TH ST FL 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2726
Practice Address - Country:US
Practice Address - Phone:415-504-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143898106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist