Individual
JAMIE LOU WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120-5193
(858) 859-8861
Mailing address
2150 COMSTOCK ST UNIT 712753, SAN DIEGO, CA 92171-7112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6186
CA
Other
Enumeration date
01/20/2021
Last updated
10/17/2023
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