Individual provider · Type 1 NPI

Junior Edmondson, YOUTH MENTOR

Counselor · Spokane, WA

NPI number 1144952383 Active

Practice location

3910 W Indian Trail Rd
Spokane, WA 99208-4739

Mailing address

3754 W Indian Trail Rd
Spokane, WA 99208-4736

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144952383

Junior Edmondson, YOUTH MENTOR's National Provider Identifier is 1144952383, issued on Jun 27, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Jun 27, 2022.