Individual
AMANDA JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(323) 733-0322
Mailing address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
119789
CA
106H00000X
Marriage & Family Therapist
94454
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2015
Last updated
05/27/2022
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