Healthcare Provider Details

I. General information

NPI: 1417810250
Provider Name (Legal Business Name): THE MISSING PEACE CONSULTING & FAMILY COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 FOUNTAIN SQUARE DR UNIT 4422
CITRUS HEIGHTS CA
95611-5155
US

IV. Provider business mailing address

6330 FOUNTAIN SQUARE DR UNIT 4422
CITRUS HEIGHTS CA
95611-5155
US

V. Phone/Fax

Practice location:
  • Phone: 916-628-4802
  • Fax:
Mailing address:
  • Phone: 916-628-4802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELYN MARIE MALOY
Title or Position: CO-OWNER
Credential: PH.D.
Phone: 916-628-4802