Individual provider · Type 1 NPI
Mysti Nicole Edge
Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI number
1720449457
Active
Practice location
3010 NW 41st St
Oklahoma City, OK 73112-6256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720449457
Mysti Nicole Edge's National Provider Identifier is 1720449457, issued on Mar 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 8, 2016.