Jeffrey A Edwards MDIV, CADC

NPI 1376731000 - Counselor - 101YA0400X

NPI Details
NPI 1376731000
Gender Male
Enumeration Date 10/09/2007
Last Updated 01/24/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
926 15TH AVE
EAST MOLINE IL, 61244-2138, US
Phone (309) 752-9740
Fax (309) 752-9744
Business Location
926 15TH AVE
EAST MOLINE IL, 61244-2138, US
Phone (309) 752-9740
Fax (309) 752-9744
Toxanomy
Taxonomy Code 101YA0400X
License State Illinois
License Number A-8601-0001-A
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According to our database, Mr. Jeffrey A Edwards MDIV, CADC NPI is 1376731000, taxonomy code is 101YA0400X and license number is A-8601-0001-A, license state is located at Illinois. Jeffrey A Edwards MDIV, CADC physically located at 926 15th Ave, East Moline IL, 61244-2138. NPI Number Jeffrey A Edwards MDIV, CADC has the Individual type.

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1376731000 NPI number is provided on an as is basis without warranty of any kind. 1376731000 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey A Edwards MDIV, CADC are for informational purposes only.