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Individual
NATHAN JAMES EDWARDS
Active
Individual
NATHAN JAMES EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LSOTP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
80288
TX
101YP2500X
Professional Counselor
80288
TX
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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