Provider Demographics
NPI:1326193608
Name:DAY-JIGALIN, JAMEISA MARIE (MFT)
Entity Type:Individual
Prefix:
First Name:JAMEISA
Middle Name:MARIE
Last Name:DAY-JIGALIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 FLORIBEL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2251
Mailing Address - Country:US
Mailing Address - Phone:510-846-6339
Mailing Address - Fax:510-787-6960
Practice Address - Street 1:628 2ND AVE
Practice Address - Street 2:#204
Practice Address - City:CROCKETT
Practice Address - State:CA
Practice Address - Zip Code:94525-1174
Practice Address - Country:US
Practice Address - Phone:510-903-1506
Practice Address - Fax:510-787-6960
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist