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

Jessica Lynn Deatherage, MCTRAINEE

Individual provider Professional Counselor · NPI 1245046168

Jessica Lynn Deatherage, MCTRAINEE is a Professional Counselor in Auburn, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1275 High St
Auburn, CA 95603-5016
Phone: (530) 264-8804
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1245046168
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCTRAINEE
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

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