Provider Demographics
NPI:1285492009
Name:SCOTTEN, JESSALYN CHRIS (AMFT AND APCC)
Entity type:Individual
Prefix:MS
First Name:JESSALYN
Middle Name:CHRIS
Last Name:SCOTTEN
Suffix:
Gender:F
Credentials:AMFT AND APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 SUNSET BLVD STE 170
Mailing Address - Street 2:#230
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765
Mailing Address - Country:US
Mailing Address - Phone:916-250-9222
Mailing Address - Fax:
Practice Address - Street 1:850 IRON POINT RD STE 108
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9010
Practice Address - Country:US
Practice Address - Phone:916-250-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC15579101YP2500X
CAAMFT144334106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional