Mr. Jeffrey Lance Jamerson
Rehabilitation Practitioner Mental Health Counselor
2055 Lincoln Ave
Pasadena
, California 91103-1324
Mr. Jeffrey Lance Jamerson
Rehabilitation Practitioner Mental Health Counselor
2055 Lincoln Ave
Pasadena
, California 91103-1324
(818) 365-0360
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About
Features
Specialties
- Mental Health Counselor
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mr. Jeffrey Lance Jamerson
- 803 De Haven St
- San Fernando, CA
- Zip : 91340-2126
- Phone : (818) 365-0360
Second Address
- Mr. Jeffrey Lance Jamerson
- 2055 Lincoln Ave
- Pasadena, CA
- Zip : 91103-1324
- Phone : (626) 798-6793
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | ||
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043330160 |
|---|---|
| Provider Name | Mr. Jeffrey Lance Jamerson |
| First Address | San Fernando, CA 91340-2126 |
| Second Address | Pasadena, CA 91103-1324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.