Individual provider · Type 1 NPI

Chase Ross Edmonds, APC

Counselor · Carrollton, GA

NPI number 1457943136 Active

Practice location

523 Dixie St
Carrollton, GA 30117-3870

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XAPC006553 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1457943136

Chase Ross Edmonds, APC's National Provider Identifier is 1457943136, issued on Feb 4, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carrollton, GA. The record was last updated on Feb 4, 2021.