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

Jeanine Wong

Individual provider Marriage & Family Therapist · NPI 1639565104

Jeanine Wong is a Marriage & Family Therapist in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3329 Bonita Vista Ln
Santa Rosa, CA 95404
Phone: (707) 978-9209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1639565104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2015
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

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