SearchCaliforniaCounselor

Jimmy Edgeworth

NPI 1790908671 · on the registry since 2007

Practice

Address
1117 S Grant St
Stockton, CA 95206
Phone
(209) 461-6500
Organisation at this address
Anka Behavioral Health, Inc.
Gods Love Outreach Ministries
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Counselor
101Y00000X
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California