Most Relevant Information
Provider Data
| NPI Number: | 1003498627 |
| Provider Name: | JACQUE ALICE SAULPAW AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 122083 |
Most Important Dates
| Enumeration Date: | 04/23/2021 |
| Last Updated: | 04/11/2024 |
Provider Practice Location
810 SMITH DR
VISTA
CA
920844430
Practice Location Phone/Fax
| Phone: | 6198132933 |
| Fax: |
Provider Mailing Location
810 SMITH DR
VISTA
CA
920844430
Provider Mailing Phone/Fax
| Phone: | 6198132933 |
| Fax: |