Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYCIE WILDERMUTH
ActiveJAYCIE WILDERMUTH is a Marriage & Family Therapist healthcare provider located in DIAMOND SPRINGS, California. NPI 1215665427 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · DIAMOND SPRINGS, CA
Registration Details
- NPI Number
- 1215665427
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2022 (3.9692889942732 yrs)
- Last Updated
- Feb 1, 2024
- Licenses
-
14738 (CA)141816 (CA)
Practice Information
- Address
-
4250 FOWLER LN STE 204DIAMOND SPRINGS, CA, 956199782Browse CA providers · Browse ZIP 95619
- Phone
- 5302951491
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in DIAMOND SPRINGS, CA
| Name | Credential | NPI |
|---|---|---|
| MARGARET ELLEN VANDERKAR | MFT | 1649216599 |
| FRANCES GOODE | MFT | 1548274541 |
| G BRUCE QUINN | PH.D. | 1598867004 |
| ERIC BALME | — | 1922102243 |
| MISS DEBBIE JOANNE WALSH | MA | 1548368772 |
| MS. MARY ELLEN KANZE | MFT | 1215019526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.