Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jasper Bear, INTERN

Individual provider Marriage & Family Therapist · NPI 1245018852

Jasper Bear, INTERN is a Marriage & Family Therapist in Berkeley, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1820 Scenic Ave
Berkeley, CA 94709-1395
Phone: (510) 206-6870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1816 Scenic Ave, Berkeley, CA 94709 — (510) 548-7270

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 150436 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1245018852
Entity typeIndividual (Type 1)
GenderMale
Credentials INTERN
Sole proprietorYes
NPI enumeratedSeptember 15, 2023
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address4900 Shattuck Ave, P.O. Box 3275, Oakland, CA 94609-2031

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