Provider Demographics
NPI:1215243555
Name:LANCER, DARLENE (LMFT)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:LANCER
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 1:450 SAN VICENTE BLVD UNIT 305
Mailing Address - Street 2:305
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-1746
Mailing Address - Country:US
Mailing Address - Phone:310-458-0016
Mailing Address - Fax:310-458-3097
Practice Address - Street 1:450 SAN VICENTE BLVD UNIT 305
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-1746
Practice Address - Country:US
Practice Address - Phone:310-458-0016
Practice Address - Fax:310-458-3097
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 27909106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist