Provider Demographics
NPI:1831233493
Name:HINESLY, JAIME ERIN (LMFT)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ERIN
Last Name:HINESLY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:MATLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:4611 W ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-7875
Mailing Address - Country:US
Mailing Address - Phone:559-802-0048
Mailing Address - Fax:
Practice Address - Street 1:107 N HALL ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5850
Practice Address - Country:US
Practice Address - Phone:559-802-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46730106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist