Most Relevant Information
Provider Data
| NPI Number: | 1003598103 |
| Provider Name: | CLINTON JON PYEATT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 111556 |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
900 FULTON AVE STE 160
SACRAMENTO
CA
958254517
Practice Location Phone/Fax
| Phone: | 9168002846 |
| Fax: |
Provider Mailing Location
268 COLNER CIR
FOLSOM
CA
956303580
Provider Mailing Phone/Fax
| Phone: | 5056813425 |
| Fax: |