Organization
JOHN RODERICK EDWARDS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RODERICK EDWARDS LCSW (PRESIDENT)
(510) 213-9284
Entity
Organization
Contact information
Practice address
2939 SUMMIT ST STE 203, OAKLAND, CA 94609-3404
(510) 213-9284
(510) 285-6457
Mailing address
PO BOX 491, OAKLAND, CA 94604-0491
(510) 213-9284
(510) 285-6457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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