Provider Demographics
NPI:1326855289
Name:ZHANG, JING (LMFT)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FALLBURY CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4468
Mailing Address - Country:US
Mailing Address - Phone:408-839-5686
Mailing Address - Fax:
Practice Address - Street 1:1 CROW CANYON CT STE 110
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1641
Practice Address - Country:US
Practice Address - Phone:408-839-5686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-14
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148269106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist