Individual provider · Type 1 NPI

Taylor Blake Edwards, LCDC

Addiction (Substance Use Disorder) Counselor · Dayton, TX

NPI number 1508632779 Active

Practice location

904 FM 686
Dayton, TX 77535-2299

Mailing address

3306 Abbey Field Ln
Porter, TX 77365-8514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16715 (TX)

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

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About NPI 1508632779

Taylor Blake Edwards, LCDC's National Provider Identifier is 1508632779, issued on Nov 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, TX. The record was last updated on Dec 27, 2023.