Individual
JACLYN BROOKE PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2701 COTTAGE WAY STE 16, SACRAMENTO, CA 95825-1226
(916) 407-4943
Mailing address
8801 FOLSOM BLVD, SACRAMENTO, CA 95826-3257
(760) 889-1746
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY29768
CA
Other
Enumeration date
09/02/2011
Last updated
07/29/2021
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