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NPI 1548872120

NPI 1548872120 : JENNIFER CHRISTINE WEINSTEIN MASTERS COUNSEL PSYC : HAYWARD, CA

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General NPI Number Information
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    NPI Number           |    1548872120
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER CHRISTINE WEINSTEIN MASTERS COUNSEL PSYC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2020
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    107 JACKSON ST 
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    City                 |    HAYWARD
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    State                |    CA
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    Zip                  |    94544-1948
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    Country              |    US
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    Telephone            |    510-886-8696
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3417 STACEY WAY 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-2923
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    Country              |    US
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    Telephone            |    925-487-5400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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