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

Jaycie Wildermuth

Individual provider Counselor · NPI 1215665427

Jaycie Wildermuth is a Counselor in Diamond Springs, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
4

Practice location Address checks out

4250 Fowler Ln Ste 204
Diamond Springs, CA 95619-9782
Phone: (530) 295-1491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8950 Cal Center Dr Ste 120, Sacramento, CA 95826-3247 — (916) 707-1758

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 141816 (CA)
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X · Licence 14738 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215665427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESFebruary 1, 2024
Certification dateOctober 2, 2023

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