Healthcare Provider Details

I. General information

NPI: 1548872120
Provider Name (Legal Business Name): JENNIFER CHRISTINE WEINSTEIN MASTERS COUNSEL PSYC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 JACKSON ST
HAYWARD CA
94544-1948
US

IV. Provider business mailing address

3417 STACEY WAY
PLEASANTON CA
94588-2923
US

V. Phone/Fax

Practice location:
  • Phone: 510-886-8696
  • Fax:
Mailing address:
  • Phone: 925-487-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: