Healthcare Provider Details

I. General information

NPI: 1427684380
Provider Name (Legal Business Name): TREE DREAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2020
Last Update Date: 05/21/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 CAMINO RAMON STE 200
SAN RAMON CA
94583-9137
US

IV. Provider business mailing address

2603 CAMINO RAMON STE 200
SAN RAMON CA
94583-9137
US

V. Phone/Fax

Practice location:
  • Phone: 925-678-4010
  • Fax: 833-931-6393
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNY LEE
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 925-272-8347