Individual provider · Type 1 NPI
Derrick Edwards, LPC-MHSP
Professional Counselor · Lebanon, TN
NPI number
1720489586
Active
Practice location
963 Gwynn Ln
Lebanon, TN 37087-9448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3159 (TN) |
Professional Counselor: Definition to come...
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About NPI 1720489586
Derrick Edwards, LPC-MHSP's National Provider Identifier is 1720489586, issued on Sep 11, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, TN. The record was last updated on Sep 11, 2014.