Individual
JORDAN WESLEY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5901 ENCINA RD STE A, GOLETA, CA 93117-2270
(805) 681-0035
(805) 681-0029
Mailing address
5901 ENCINA RD STE A, GOLETA, CA 93117-2270
(805) 681-0035
(805) 681-0029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
29531
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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