Individual
ELIZABETH LYNN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
930 GLENHAVEN DR, EVANS, GA 30809-0445
(706) 814-6429
(706) 814-6429
Mailing address
125 COMMERCIAL BLVD, PO BOX 204301, MARTINEZ, GA 30917-4301
(706) 814-6429
(706) 814-6429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003283182A
—
GA
01
—
1576028
AVAILITY
—
Enumeration date
01/22/2016
Last updated
09/17/2023
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