Provider Demographics
NPI:1720216427
Name:NASSER, JENNIFER E (LICENSED MFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:NASSER
Suffix:
Gender:F
Credentials:LICENSED MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 POST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3442
Mailing Address - Country:US
Mailing Address - Phone:415-429-1952
Mailing Address - Fax:
Practice Address - Street 1:1663 MISSION ST
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2400
Practice Address - Country:US
Practice Address - Phone:415-581-0449
Practice Address - Fax:415-581-0458
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80565106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist