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Individual

PROF. BRIAN B EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC/LCDC

Contact information

Practice address
3000 N GARFIELD ST, SUITE 215, MIDLAND, TX 79705-6400
(432) 694-8509
(432) 682-1442
Mailing address
3000 N GARFIELD ST, SUITE 215, MIDLAND, TX 79705-6400
(432) 694-8509
(432) 682-1442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401
TX
101YP2500X
Professional Counselor
Primary
19395
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175008501
TX
Enumeration date
06/22/2006
Last updated
05/19/2010
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