Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ja Lyn Nicole Edison

Individual provider Marriage & Family Therapist · NPI 1386393064

MS. Ja Lyn Nicole Edison is a Marriage & Family Therapist in San Pedro, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1360 W 6th St
San Pedro, CA 90732-3514
Phone: (310) 519-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 139779 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386393064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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