Individual
BONNIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
17 BLUE LINE DR, ATHENS, OH 45701-2325
(740) 592-5689
(740) 593-7166
Mailing address
17 BLUE LINE DR, ATHENS, OH 45701-2325
(740) 592-5689
(740) 593-7166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0005332
OH
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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