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Individual
SAMANTHA M EDWARDS
Active
Individual
SAMANTHA M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10464
NC
101YP2500X
Professional Counselor
10464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10464
LICENSURE
NC
Enumeration date
02/06/2014
Last updated
08/28/2024
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