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Individual
LEE EDWARDS
Active
Individual
LEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., NCC, LPC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307356101
—
TX
01
—
307356102
MEDICAID CSHCN
TX
01
—
64201
LPC
TX
01
—
8381LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/16/2008
Last updated
04/13/2017
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