Healthcare Provider Details

I. General information

NPI: 1225493935
Provider Name (Legal Business Name): JENNEFER L LAWSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNEFER L LUPERCIO LMFT

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 STOCKDALE HWY STE 275
BAKERSFIELD CA
93309-2667
US

IV. Provider business mailing address

5121 STOCKDALE HWY STE 275
BAKERSFIELD CA
93309-2667
US

V. Phone/Fax

Practice location:
  • Phone: 661-248-5239
  • Fax: 661-248-6463
Mailing address:
  • Phone: 661-248-5239
  • Fax: 661-248-6463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT110587
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: