Individual
MS. BRENDA J EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
203335
GA
101YM0800X
Mental Health Counselor
LPC005536
GA
101YP2500X
Professional Counselor
Primary
LPC005536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882686878A
—
GA
Enumeration date
06/12/2009
Last updated
02/12/2014
Update your record
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