Individual
ANDREW JEFFREY LAVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
16055 VENTURA BLVD STE 715, ENCINO, CA 91436-2610
(818) 600-2105
Mailing address
14315 RIVERSIDE DR UNIT 205, SHERMAN OAKS, CA 91423-1780
(818) 207-3977
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LMFT111723
CA
Other
Enumeration date
06/04/2020
Last updated
02/08/2026
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