JESSICA KEIKO LANE

BERKELEY, CA
NPI1710332770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT44341)
Enumeration Date2016-04-27
Last Update Date2016-04-27
Business Address
-- JESSICA KEIKO LANE MFT
3120 TELEGRAPH AVE SUITE 11
BERKELEY, CA 94705-1900
Phone number: 510-527-6188
Mailing Address
-- JESSICA KEIKO LANE MFT
3120 TELEGRAPH AVE SUITE 11
BERKELEY, CA 94705-1900
Phone number: 510-527-6188