Provider Demographics
NPI:1538602180
Name:JAMES, JENEE (LMFT)
Entity type:Individual
Prefix:DR
First Name:JENEE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9909 MIRA MESA BLVD
Mailing Address - Street 2:SUITE 200, MAIL CODE 8217
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1056
Mailing Address - Country:US
Mailing Address - Phone:858-657-7792
Mailing Address - Fax:
Practice Address - Street 1:9909 MIRA MESA BLVD
Practice Address - Street 2:SUITE 200, MAIL CODE 8217
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1056
Practice Address - Country:US
Practice Address - Phone:858-657-7792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT96421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist