Provider Demographics
NPI:1851594451
Name:ASKIN, JAYANN (MFT)
Entity Type:Individual
Prefix:
First Name:JAYANN
Middle Name:
Last Name:ASKIN
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 1:681 MAIN ST STE 212
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-5748
Mailing Address - Country:US
Mailing Address - Phone:530-306-7020
Mailing Address - Fax:530-725-5707
Practice Address - Street 1:681 MAIN ST STE 212
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5748
Practice Address - Country:US
Practice Address - Phone:530-306-7020
Practice Address - Fax:530-725-5707
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT41921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist