Individual
ANTWANETTE ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2387 LISA LN, PLEASANT HILL, CA 94523-3949
(925) 677-7480
Mailing address
136 VALDIVIA CIR, SAN RAMON, CA 94583-2228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2021
Last updated
01/06/2025
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