Jaycie Wildermuth
NPI #1215665427 in Diamond Springs, California
Provider Information
- NPI Number
- 1215665427
- Entity Type
- Individual
- Name
- Jaycie Wildermuth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Feb 1, 2024
Practice Location
- Address
- 4250 FOWLER LN STE 204
- City
- Diamond Springs
- State
- California
- ZIP Code
- 95619-9782
- Phone
- (530) 295-1491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Professional — Professional |
| Student in an Organized Health Care Education/Training Program |
| Marriage & Family Therapist |
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