Individual
MRS. LISA MARIE JAMEYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
32 RIDGE RD, MUNSTER, IN 46321-1518
(219) 836-8806
Mailing address
32 RIDGE RD, MUNSTER, IN 46321-1518
(219) 836-8806
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001665A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106H00000X
PRIVATE PRACTICE MFT SERVICES
—
Enumeration date
05/28/2008
Last updated
09/22/2009
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