Individual
KATHY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 663-2199
(501) 663-2234
Mailing address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 663-2199
(501) 663-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88-14EI
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170766795
—
AR
Enumeration date
10/30/2008
Last updated
08/23/2009
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