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Individual

MR. JAMES BURNSIDES EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
331 E 8TH ST, ANNISTON, AL 36207-5731
(256) 236-3403
(256) 238-6263
Mailing address
11749 COUNTY ROAD 49, HEFLIN, AL 36264-5115
(256) 748-2416

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
526
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41646
BLUE CROSS
AL
Enumeration date
12/01/2006
Last updated
07/08/2007
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