Individual provider · Type 1 NPI

Ta-Tanisha Elaine Edwards

Mental Health Counselor · Norfolk, VA

NPI number 1205502069 Active

Practice location

5215 Colley Ave
Norfolk, VA 23508-2166

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X376905001 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1205502069

Ta-Tanisha Elaine Edwards's National Provider Identifier is 1205502069, issued on Aug 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norfolk, VA. The record was last updated on Aug 20, 2021.