Organization
JNT HEALING PATHWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY A WYNN PHD, LPCC (CHIEF CLINICAL OFFICER)
(505) 670-7765
Entity
Organization
Contact information
Practice address
2135 BUTANO DR # 100, SACRAMENTO, CA 95825-0447
(505) 670-7765
Mailing address
4723 RUIZ ST, AUSTIN, TX 78723-3459
(512) 203-4392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
12/12/2025
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