Individual
ALEXANDER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R1386350420
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4296
(341) 766-4032
Mailing address
929 S TOWNSEND ST, SANTA ANA, CA 92704-2925
(341) 766-4032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1386350420
CA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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