Individual provider · Type 1 NPI
Crystal Edwards
Addiction (Substance Use Disorder) Counselor · Charleston, IL
NPI number
1205335064
Active
Practice location
903 W Lincoln Ave
Charleston, IL 61920-2413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 34419 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1205335064
Crystal Edwards's National Provider Identifier is 1205335064, issued on Feb 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charleston, IL. The record was last updated on Feb 7, 2018.