person
Mr. Grady Deshawn Wilkins IV
Mental Health Counselor in Stockton, California
NPI 1134795644

Grady Deshawn Wilkins IV is a Mental Health Counselor based in Stockton, CA and is specialized in Mental Health. Grady Deshawn Wilkins IV practices in Stockton, CA. The NPI Number for Grady Deshawn Wilkins IV is 1134795644 and holds a License No. (California).

The current practice location address for Grady Deshawn Wilkins IV is 2495 W March Ln Ste 125, Stockton, CA and can be reached out via phone at 256-457-4127.

Location: 2495 W March Ln Ste 125, Stockton, CA, 95207-8224
person
Provider Profile Details
NPI Number
1134795644
Provider Name
Grady Deshawn Wilkins IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
2495 W March Ln Ste 125, Stockton, CA, 95207-8224
Phone Number
256-457-4127
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2495 W March Ln Ste 125
City
State
Zip
95207-8224
Phone Number
256-457-4127
Fax Number
person
Provider Business Mailing Address Details
Address
2495 W March Ln Ste 125
City
State
Zip
95207-8224
Phone Number
256-457-4127
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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