Misty M Edwards LCDC

NPI 1689843724 - Counselor - 101YA0400X

NPI Details
NPI 1689843724
Gender Female
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2111 W HWY 377
GRANBURY TX, 76048-5627, US
Phone (817) 573-6002
Fax (817) 573-6009
Business Location
2111 W HWY 377
GRANBURY TX, 76048-5627, US
Phone (817) 573-6002
Fax (817) 573-6009
Toxanomy
Taxonomy Code 101YA0400X
License State Texas
License Number 10409
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According to our database, Misty M Edwards LCDC NPI is 1689843724, taxonomy code is 101YA0400X and license number is 10409, license state is located at Texas. Misty M Edwards LCDC physically located at 2111 W Hwy 377, Granbury TX, 76048-5627. NPI Number Misty M Edwards LCDC has the Individual type.

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1689843724 NPI number is provided on an as is basis without warranty of any kind. 1689843724 is maintained by the National Plan & Provider Enumeration System. The contents of Misty M Edwards LCDC are for informational purposes only.