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Jamie Lou Wayne
Professional Counselor in San Diego, California
NPI 1508456849

Jamie Lou Wayne is a Professional Counselor based in San Diego, CA and is specialized in Professional. Jamie Lou Wayne practices in San Diego, CA. The NPI Number for Jamie Lou Wayne is 1508456849 and holds a License No. 6186 (California).

The current practice location address for Jamie Lou Wayne is 5555 Reservoir Dr Ste 309, San Diego, CA and can be reached out via phone at 858-859-8861.

Location: 5555 Reservoir Dr Ste 309, San Diego, CA, 92171-7112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508456849
Provider Name
Jamie Lou Wayne
Credential
Provider Entity Type
Individual
Gender
Female
Address
5555 Reservoir Dr Ste 309, San Diego, CA, 92171-7112
Phone Number
858-859-8861
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr Ste 309
City
San Diego
State
California
Zip
92120-5193
Phone Number
858-859-8861
Fax Number
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr Ste 309
City
San Diego
State
California
Zip
92120-5193
Phone Number
858-859-8861
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6186 (California)
Definition
Definition to come...
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