Individual
FREDERICK PALTRON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
9500 FRONT STREET, SUITE 100, LAKEWOOD, WA 98499
(253) 584-3996
(253) 589-1071
Mailing address
9500 FRONT ST S STE 100, LAKEWOOD, WA 98499-9415
(253) 584-3996
(253) 589-1071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60624643
WA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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