Individual
DR. JOSE MANUEL AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
6480 BROOK HOLLOW CIR, STOCKTON, CA 95219-2436
(209) 470-2953
Mailing address
6480 BROOK HOLLOW CIR, STOCKTON, CA 95219-2436
(209) 470-2953
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2285
CA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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