Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE MICHAEL WILDE, LMFT
Active Sole ProprietorJACQUELINE MICHAEL WILDE, LMFT is a Mental Health Counselor healthcare provider located in SANTA ROSA, California. NPI 1386334217 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SANTA ROSA, CA
Registration Details
- NPI Number
- 1386334217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2023 (3.2777003263283 yrs)
- Last Updated
- May 12, 2023
- License
-
46715 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2107 SIESTA LNSANTA ROSA, CA, 954043238Browse CA providers · Browse ZIP 95404
- Phone
- 7073319658
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER JOY SHANNON | MFC | 1013982768 |
| MS. SUSAN MARIE BRIGGS | LMFT | 1174557847 |
| MS. CLAIRE ARLENE ARNESEN | M.A., MFT | 1629002126 |
| MS. ANGE STEPHENS | M.A., MFT | 1962424275 |
| TOM NIXON | — | 1477665883 |
| MS. MELANIE BETH COLBURT | MFTI | 1578665436 |
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.