Jimmy Edgeworth is a Counselor based in French Camp, CA. Jimmy Edgeworth practices in Stockton, CA. The NPI Number for Jimmy Edgeworth is 1790908671 and holds a License No. (California).
The current practice location address for Jimmy Edgeworth is 1117 S Grant St, Stockton, CA and can be reached out via phone at 209-461-6500.
Location: 1117 S Grant St, Stockton, CA, 95231-9759
Provider Profile Details
NPI Number
1790908671
Provider Name
Jimmy Edgeworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1117 S Grant St, Stockton, CA, 95231-9759
Phone Number
209-461-6500
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1117 S Grant St
City
State
Zip
95206-1626
Phone Number
209-461-6500
Fax Number
Provider Business Mailing Address Details
Address
1117 S Grant St
City
State
Zip
95206-1626
Phone Number
209-461-6500
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
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.
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