MEDICARE: CHRISTINE JENKINS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	22273	CA

General Provider Information

NPI Number	:	1255706354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE JENKINS LMFT

Provider Business Mailing Address
First Line	:	109 EVERGREEN AVE
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-3317
Country	:	US
Telephone Number	:	941-224-6387
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 GREER RD
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94303-3024
Country	:	US
Telephone Number	:	941-224-6387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2015
Last Update Date	:	12/07/2025

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