Individual provider · Type 1 NPI

Jimmy Edgeworth

Counselor · Stockton, CA

NPI number 1790908671 Active

Practice location

1117 S Grant St
Stockton, CA 95206-1626

Call (209) 461-6500 Map

Mailing address

8210 S Bright Rd
French Camp, CA 95231-9759

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

11 other providers at this address

Other counselor providers in Stockton

See all in Stockton →

About NPI 1790908671

Jimmy Edgeworth's National Provider Identifier is 1790908671, issued on Apr 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.