Healthcare Provider Details

I. General information

NPI: 1033033287
Provider Name (Legal Business Name): ANNE MARIE JUBINAL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 TELEGRAPH AVE
OAKLAND CA
94609-3205
US

IV. Provider business mailing address

PO BOX 51
EL CERRITO CA
94530-0051
US

V. Phone/Fax

Practice location:
  • Phone: 510-929-9200
  • Fax:
Mailing address:
  • Phone: 562-922-4079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: