MEDICARE: ANDREA LOUISE LAMBERT MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT 007126	CA

General Provider Information

NPI Number	:	1912992009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA LOUISE LAMBERT MFT

Provider Business Mailing Address
First Line	:	5777 MADISON AVE
Second Line	:	SUITE 307
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3315
Country	:	US
Telephone Number	:	916-966-0411
Fax Number	:	207-221-9205

Provider Business Practice Location Address
First Line	:	5777 MADISON AVE
Second Line	:	SUITE 307
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3315
Country	:	US
Telephone Number	:	916-966-0411
Fax Number	:	207-221-9205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/12/2018

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