Provider Demographics
NPI:1023135852
Name:LUMLEY, JANELL L
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:L
Last Name:LUMLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:L
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:1752 WHITECLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-6234
Mailing Address - Country:US
Mailing Address - Phone:925-708-2005
Mailing Address - Fax:
Practice Address - Street 1:37 QUAIL CT
Practice Address - Street 2:SUITE 300
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5592
Practice Address - Country:US
Practice Address - Phone:925-708-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33465106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist