Individual
JACQUELYN CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720-4304
(510) 642-9494
(510) 642-2368
Mailing address
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720-4304
(510) 642-9494
(510) 642-2368
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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