Individual provider · Type 1 NPI
Jeffrey A. Edwards, MDIV, CADC
Addiction (Substance Use Disorder) Counselor · East Moline, IL
NPI number
1376731000
Active
Practice location
926 15th Ave
East Moline, IL 61244-2138
Fax (309) 752-9744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A-8601-0002-A (IL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A-8601-0001-A (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in East Moline
About NPI 1376731000
Jeffrey A. Edwards, MDIV, CADC's National Provider Identifier is 1376731000, issued on Oct 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Moline, IL. The record was last updated on Jan 24, 2011.