Individual provider · Type 1 NPI

Dylan Edwards

Mental Health Counselor · Enterprise, OR

NPI number 1508387747 Active

Practice location

207 SW 1st St
Enterprise, OR 97828-1203

Call (541) 426-4524 Map

Mailing address

PO Box 268
Enterprise, OR 97828-0268

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X19-QMHA-I-02381 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508387747

Dylan Edwards's National Provider Identifier is 1508387747, issued on Jun 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enterprise, OR. The record was last updated on Apr 18, 2025.