Individual provider · Type 1 NPI

Craig Kendall Edmondson, BS ED BHRS

Mental Health Counselor · Tishomingo, OK

NPI number 1003186016 Active

Practice location

801 E Main St
Tishomingo, OK 73460-2351

Call (580) 371-3776 Map

Mailing address

84 Pecan St
Durant, OK 74701-7400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003186016

Craig Kendall Edmondson, BS ED BHRS's National Provider Identifier is 1003186016, issued on Jan 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Jan 6, 2012.