Individual ProviderNathaniel King EdwardsMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address7641 University Ave Unit 107, La Mesa, CA 91942-6217(619) 865-1926PECOS EnrollmentBased on the most recent information from CMS, provider Nathaniel King Edwards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1134576200Provider TypeIndividualFull NameEdwards, Nathaniel KingCredentialLMFTGenderMaleSole ProprietorNoEnumeration Date5/19/2016Last Updated7/12/2025Contact InformationPractice LocationPractice Address7641 University Ave Unit 107, La Mesa, CA 91942-6217Phone(619) 865-1926FaxUnlisted FaxMailing LocationMailing Address7641 University Ave Unit 107, La Mesa, CA 91942-6217Phone(619) 865-1926FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense126890California