Athanacio, Jennifer

Athanacio, Jennifer is an individual health care provider with primary practice located at 4210 Technology Dr , Fremont CA 94538-6337. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Athanacio, Jennifer can be contacted via phone (510) 329-2045.

Contact Information

Primary practice address
4210 Technology Dr Fremont CA 94538-6337
Phone: (510) 329-2045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 99356 California
Behavioral Health & Social Service Providers / School 103TS0200X California

Profile Details

NPI number 1457172157
LBN Legal business name Athanacio, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2024
Last updated Oct 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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