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Organization
EDGE COUNSELING & CONSULTING
Active
Organization
EDGE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE R SPADING LMHC, CRC (PRESIDENT/OWNER)
(319) 350-0921
Entity
Organization
Contact information
Practice address
309 SUNFLOWER DR, FAIRFAX, IA 52228-7608
(319) 350-0921
Mailing address
309 SUNFLOWER DR, FAIRFAX, IA 52228-7608
(319) 350-0921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
225C00000X
Rehabilitation Counselor
—
NULL
225C00000X
Rehabilitation Counselor
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
NULL
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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