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Organization
GINA EDWARDS, PHD, LLC
Active
Organization
GINA EDWARDS, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA EDWARDS MA, PHD (LICENSED PROFESSIONAL COUNSELOR)
(541) 525-2332
Entity
Organization
Contact information
Practice address
1679 WILLAMETTE ST, EUGENE, OR 97401-4013
(541) 525-2332
(541) 344-1129
Mailing address
1679 WILLAMETTE ST, EUGENE, OR 97401-4013
(541) 525-2332
(541) 344-1129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4416
OR
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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