Individual provider · Type 1 NPI
Kevin Edwards Jr.
Mental Health Counselor · Manor, TX
NPI number
1063380889
Active
Practice location
13709 Lyndon B Johnson St
Manor, TX 78653-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063380889
Kevin Edwards Jr.'s National Provider Identifier is 1063380889, issued on Oct 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manor, TX. The record was last updated on Jan 8, 2026.