Healthcare Provider Details

I. General information

NPI: 1487163911
Provider Name (Legal Business Name): MRS. JENNIFER SABAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 KEARNEY ST STE 150
FREMONT CA
94538-2285
US

IV. Provider business mailing address

3155 KEARNEY ST STE 150
FREMONT CA
94538-2285
US

V. Phone/Fax

Practice location:
  • Phone: 510-771-9197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: