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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 MinistriesInferred 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