Individual
DR. KEITH WILSON EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1202 TOWN PARK LN STE 300, EVANS, GA 30809-3477
(706) 210-8855
(706) 432-8775
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004579
GA
Other
Enumeration date
01/26/2010
Last updated
05/12/2026
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