Provider Demographics
NPI:1912992009
Name:LAMBERT, ANDREA LOUISE (MFT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LOUISE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5777 MADISON AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3315
Mailing Address - Country:US
Mailing Address - Phone:916-966-0411
Mailing Address - Fax:207-221-9205
Practice Address - Street 1:5777 MADISON AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3315
Practice Address - Country:US
Practice Address - Phone:916-966-0411
Practice Address - Fax:207-221-9205
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 007126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist