Individual
KRISTINE RUTH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PC
Contact information
Practice address
5647 MAYBERRY SQ E, SYLVANIA, OH 43560-9456
(734) 755-7136
Mailing address
5647 MAYBERRY SQ E, SYLVANIA, OH 43560-9456
(734) 755-7136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0500154
OH
101YP2500X
Professional Counselor
6401008894
MI
Other
Enumeration date
05/23/2007
Last updated
04/12/2019
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