Individual
MS. JENNI'FER BANKS-CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 938-2113
(408) 579-6143
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 938-2113
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
15792
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/15/2022
Last updated
03/21/2024
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