Provider Demographics
NPI:1982255055
Name:PEREIRA-WEISS, JENIFER (LMFT)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:
Last Name:PEREIRA-WEISS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:
Other - Last Name:PEREIRA-WEISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:7601 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4501
Mailing Address - Country:US
Mailing Address - Phone:925-847-5051
Mailing Address - Fax:
Practice Address - Street 1:3825 HOPYARD RD STE 140&202
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8528
Practice Address - Country:US
Practice Address - Phone:925-847-5051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49736106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty