Individual provider · Type 1 NPI

Kevin Goodwin Sr., M.A., APCC, PPS

Mental Health Counselor · Stockton, CA

NPI number 1396604740 Active

Practice location

1721 Carpenter Rd
Stockton, CA 95206-3809

Call (209) 933-7260 Map

Mailing address

2822 Chauncy Cir
Stockton, CA 95209-1615

Other practice locations

  • 1670 E 6th St, Stockton, CA 95206-2352 · (209) 933-7190

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPCC16194 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1396604740

Kevin Goodwin Sr., M.A., APCC, PPS's National Provider Identifier is 1396604740, issued on Jan 21, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jan 21, 2026.