Provider Demographics
NPI:1861528143
Name:LIPARI, LYNN JENSEN (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:JENSEN
Last Name:LIPARI
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 9661
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95157-0661
Mailing Address - Country:US
Mailing Address - Phone:408-202-5941
Mailing Address - Fax:
Practice Address - Street 1:2425 ENBORG LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2648
Practice Address - Country:US
Practice Address - Phone:408-885-3413
Practice Address - Fax:408-885-4075
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41810106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist