Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Michael Wilde, LMFT

Individual provider Mental Health Counselor · NPI 1386334217

Jacqueline Michael Wilde, LMFT is a Mental Health Counselor in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

2107 Siesta Ln
Santa Rosa, CA 95404-3238
Phone: (707) 331-9658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 46715 (CA)

Record details

NPI number1386334217
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

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