Individual provider · Type 1 NPI

Burt Jeffery Edwards

Mental Health Counselor · Coon Rapids, MN

NPI number 1265071740 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265071740

Burt Jeffery Edwards's National Provider Identifier is 1265071740, issued on Dec 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 31, 2019.