Provider Demographics
NPI:1861514382
Name:JAMES, ELIZABETH JACQUELINE (DMFT, MA, LMFT, LPCC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JACQUELINE
Last Name:JAMES
Suffix:
Gender:F
Credentials:DMFT, MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1331
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1331
Mailing Address - Country:US
Mailing Address - Phone:909-276-4747
Mailing Address - Fax:
Practice Address - Street 1:527 E ROWLAND ST STE 112
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3230
Practice Address - Country:US
Practice Address - Phone:909-276-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC288101YP2500X
CALMFT49295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional