Individual
EDITH BISHOP EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CULLENS ST NW, YELM, WA 98597-9417
(360) 400-4860
(360) 400-4826
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61398055
WA
101YM0800X
Mental Health Counselor
MC61398055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2242234
—
WA
Enumeration date
11/08/2022
Last updated
05/29/2025
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