Individual
MR. JOHN O EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEAP
Contact information
Practice address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 369-0879
Mailing address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 369-0879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00007
TN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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