Provider Demographics
NPI:1265013569
Name:GARNES, EDWARD MARCELLUS JR
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:MARCELLUS
Last Name:GARNES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4882 W PARK CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-2049
Mailing Address - Country:US
Mailing Address - Phone:404-956-2188
Mailing Address - Fax:
Practice Address - Street 1:CAL BERKELEY COUNSELING PSYCHOLOGICAL SERVICES
Practice Address - Street 2:2222 BANCROFT WAY #4300
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-4304
Practice Address - Country:US
Practice Address - Phone:510-642-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor