Jerry Stovall, L.C.S.W.
Social Worker, Clinical in Redding, CA. Individual provider (NPI-1).
NPI number1982730438
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1982730438
- Entity type
- Individual (NPI-1)
- Name
- Jerry Stovall
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS16319 | CA | Yes |
Practice location
2485 Old Eureka WayRedding, CA 96001-0336
Phone 530-242-8971 · Fax 530-244-1546
Mailing address
2485 Old Eureka WayRedding, CA 96001-0336
Phone 530-242-8971 · Fax 530-244-1546
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All 192 Clinical Social Worker providers in Redding · All 4,637 providers in Redding
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