Individual ProviderJayson GoCounselorBehavioral Health & Social Service ProvidersPractice Address1212 N California St, Stockton, CA 95202-1552(209) 468-8720PECOS EnrollmentBased on the most recent information from CMS, provider Jayson Go 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 yesterday at 12:57 PM.Profile DetailsProvider ID1154715654Provider TypeIndividualFull NameGo, JaysonGenderMaleSole ProprietorYesEnumeration Date3/23/2015Last Updated3/23/2015Contact InformationPractice LocationPractice Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8720Fax(209) 468-9854Mailing LocationMailing Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8720Fax(209) 468-9854Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePT 37643California