Healthcare Provider Details

I. General information

NPI: 1285492009
Provider Name (Legal Business Name): JESSALYN CHRIS SCOTTEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 SHERINGTON WAY
SACRAMENTO CA
95835-1360
US

IV. Provider business mailing address

2701 DEL PASO RD STE 130-357
SACRAMENTO CA
95835-2305
US

V. Phone/Fax

Practice location:
  • Phone: 916-250-9222
  • Fax:
Mailing address:
  • Phone: 916-250-9222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC15579
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT164545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: