Individual
CRAIG KENDALL EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS ED BHRS
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(580) 371-3776
Mailing address
84 PECAN ST, DURANT, OK 74701-7400
(903) 293-6466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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