Individual
MR. CORNELIUS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
10 S HANSON ST, EASTON, MD 21601-3010
(410) 819-5661
Mailing address
4895 EDMONDSON CREEK RD, PRESTON, MD 21655-1474
(410) 924-9659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA200
MD
Other
Enumeration date
03/27/2008
Last updated
12/18/2013
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