Provider Demographics
NPI:1871049338
Name:TENG, JESSICA LAM (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LAM
Last Name:TENG
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 1:405 PRIMROSE RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4092
Mailing Address - Country:US
Mailing Address - Phone:650-542-9959
Mailing Address - Fax:
Practice Address - Street 1:405 PRIMROSE RD STE 310
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4092
Practice Address - Country:US
Practice Address - Phone:650-542-9959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist