Individual
JEWELL JOSEPHINE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(714) 191-6427
Mailing address
5250 CLAREMONT AVE STE 135, STOCKTON, CA 95207-5700
(209) 923-3488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-YDKBQC
CA
Other
Enumeration date
12/11/2018
Last updated
02/19/2026
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