Provider Demographics
NPI:1982413720
Name:LEHNER, JEFFREY JOE
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:JOE
Last Name:LEHNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2815
Mailing Address - Country:US
Mailing Address - Phone:831-583-2060
Mailing Address - Fax:
Practice Address - Street 1:298 PATTON PKWY
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6007
Practice Address - Country:US
Practice Address - Phone:831-583-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1009971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical