Individual provider · Type 1 NPI

Regina Edmondson

Addiction (Substance Use Disorder) Counselor · Copley, OH

NPI number 1013575919 Active

Practice location

155 Montrose West Ave
Copley, OH 44321-3121

Mailing address

820 Rosewood Dr Apt E104
Elyria, OH 44035-1859

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC-CS.162193 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013575919

Regina Edmondson's National Provider Identifier is 1013575919, issued on Jun 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Copley, OH. The record was last updated on Aug 29, 2026.