Healthcare Provider Details

I. General information

NPI: 1982255055
Provider Name (Legal Business Name): JENIFER PEREIRA-WEISS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENIFER PEREIRA-WEISS LMFT

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HOPYARD RD STE 140&202
PLEASANTON CA
94588-8528
US

IV. Provider business mailing address

7601 STONERIDGE DR
PLEASANTON CA
94588-4501
US

V. Phone/Fax

Practice location:
  • Phone: 925-847-5051
  • Fax:
Mailing address:
  • Phone: 925-847-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC49736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: