Healthcare Provider Details

I. General information

NPI: 1497133466
Provider Name (Legal Business Name): JENNIFER MICHELLE ZANOLI M.A., MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 SACRAMENTO ST STE 1
SAN FRANCISCO CA
94118-1864
US

IV. Provider business mailing address

3569 SACRAMENTO ST STE 1
SAN FRANCISCO CA
94118-1864
US

V. Phone/Fax

Practice location:
  • Phone: 415-290-9800
  • Fax:
Mailing address:
  • Phone: 415-290-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number36301
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: