JAYCIE WILDERMUTH

DIAMOND SPRINGS, CA
NPI1215665427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  141816)
Additional Taxonomies101Y00000X Counselor
101YP2500X Counselor, Professional
(Licence: CA  14738)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-15
Last Update Date2024-02-01
Business Address
JAYCIE WILDERMUTH
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9782
Phone number: 530-295-1491
Mailing Address
JAYCIE WILDERMUTH
PO BOX 112
WEST SACRAMENTO, CA 95691-0112
Phone number: