Healthcare Provider Details

I. General information

NPI: 1528188042
Provider Name (Legal Business Name): LEE CHRISTOPHER LAWVER MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHRISTOPHER LAWVER MFT

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 05/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MARKET ST
SAN FRANCISCO CA
94103-1513
US

IV. Provider business mailing address

8581 SANTA MONICA BLVD # 238
WEST HOLLYWOOD CA
90069-4120
US

V. Phone/Fax

Practice location:
  • Phone: 415-863-3883
  • Fax: 415-863-7343
Mailing address:
  • Phone: 415-919-9795
  • Fax: 310-289-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number40090
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: