Individual provider · Type 1 NPI
Clinton Jamie Edwards, MA, M.ED, LCAS, CSI
Addiction (Substance Use Disorder) Counselor · Mount Airy, NC
NPI number
1376108191
Active
Practice location
1151 W Lebanon St Ste 200
Mount Airy, NC 27030-2225
Mailing address
6776 Snake Creek Rd
Hillsville, VA 24343-4586
Other practice locations
- 3169 North Carolina Highway South, Walnut Cove, NC 27052 · (336) 306-4636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-2133 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1376108191
Clinton Jamie Edwards, MA, M.ED, LCAS, CSI's National Provider Identifier is 1376108191, issued on May 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Airy, NC. The record was last updated on Mar 7, 2022.