Healthcare Provider Details

I. General information

NPI: 1487379145
Provider Name (Legal Business Name): JENNIFER WOLINETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 CONCORD AVE STE 200
CONCORD CA
94520-5647
US

IV. Provider business mailing address

1070 CONCORD AVE STE 200
CONCORD CA
94520-5647
US

V. Phone/Fax

Practice location:
  • Phone: 925-849-5349
  • Fax:
Mailing address:
  • Phone: 925-849-5349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberAMFT145374
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: