Healthcare Provider Details

I. General information

NPI: 1992859912
Provider Name (Legal Business Name): JENNIFER ELAINE LYON M.S., L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ELAINE BRUCE ARVONEN M.S., L.M.F.T.

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 11/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 YELLOWSTONE DR SUITE 110
CHICO CA
95973-5884
US

IV. Provider business mailing address

22 LOBELIA CT
CHICO CA
95973-8241
US

V. Phone/Fax

Practice location:
  • Phone: 530-879-5991
  • Fax:
Mailing address:
  • Phone: 530-828-6861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number46888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: