Individual
JAYSON WILKENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 19TH ST, SACRAMENTO, CA 95811-4102
(916) 446-3111
(916) 446-3131
Mailing address
1012 19TH ST, SACRAMENTO, CA 95811-4102
(916) 446-3111
(916) 446-3131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13835
CA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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