Individual provider · Type 1 NPI

Jamesetta Edwards, BFA

Addiction (Substance Use Disorder) Counselor · Hines, IL

NPI number 1407937923 Active

Practice location

5th & Roosevelt
Hines, IL 60141

Fax (708) 202-7013

Mailing address

1204 Tryon Rd
Michigan City, IN 46360-2260

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407937923

Jamesetta Edwards, BFA's National Provider Identifier is 1407937923, issued on Oct 18, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hines, IL. The record was last updated on Jul 8, 2007.