Healthcare Provider Details

I. General information

NPI: 1063960078
Provider Name (Legal Business Name): JASMIN ZEGER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 SCOTT ST
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

1710 SCOTT ST
SAN FRANCISCO CA
94115-3004
US

V. Phone/Fax

Practice location:
  • Phone: 415-359-2465
  • Fax:
Mailing address:
  • Phone: 415-359-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106864
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: