Provider Demographics
NPI:1992954028
Name:LAWSON, PHILIP JEAN II (MFTI)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:JEAN
Last Name:LAWSON
Suffix:II
Gender:M
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ECLIPSE CT
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1144
Mailing Address - Country:US
Mailing Address - Phone:941-914-4298
Mailing Address - Fax:
Practice Address - Street 1:1855 OLYMPIC BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5089
Practice Address - Country:US
Practice Address - Phone:925-933-2627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health