Provider Demographics
NPI:1063726800
Name:BILIMORIA, JENNIFER BAJI (LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BAJI
Last Name:BILIMORIA
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 1:540 W BASELINE RD
Mailing Address - Street 2:STE 3
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1612
Mailing Address - Country:US
Mailing Address - Phone:909-625-7175
Mailing Address - Fax:909-625-7268
Practice Address - Street 1:540 W BASELINE RD
Practice Address - Street 2:STE 3
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-1612
Practice Address - Country:US
Practice Address - Phone:909-625-7175
Practice Address - Fax:909-625-7268
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT80447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist