# MENG CHANG LICENSED MARRIAGE AND FAMILY THERAPIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackie Chang Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659985240
- **Authorized official:** MS. MENG CHANG LMFT (OWNER/CEO)
- **Authorized official phone:** (408) 916-3463

## Contact information

- **Practice address:** 1174 LINCOLN AVE STE 8, SAN JOSE, CA 95125-3029
- **Practice address phone:** (408) 916-3463
- **Mailing address:** 1174 LINCOLN AVE STE 8, SAN JOSE, CA 95125-3029
- **Mailing address phone:** (408) 916-3463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/02/2020