Clinton Jon Pyeatt
Marriage & Family Therapist in Sacramento, CA. Individual provider (NPI-1).
NPI number1003598103
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1003598103
- Entity type
- Individual (NPI-1)
- Name
- Clinton Jon Pyeatt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 111556 | CA | Yes |
Practice location
900 Fulton Ave Ste 160Sacramento, CA 95825-4517
Phone 916-800-2846
Mailing address
268 Colner CirFolsom, CA 95630-3580
Phone 505-681-3425
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