Individual
MS. ETHEL L EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LMSW
Contact information
Practice address
7300 BLANCO RD, SUITE 501, SAN ANTONIO, TX 78216-4936
(210) 446-8255
(888) 823-3497
Mailing address
PO BOX 460429, SAN ANTONIO, TX 78246-0429
(210) 446-8255
(888) 823-3497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
281
TX
104100000X
Social Worker
06246
TX
106H00000X
Marriage & Family Therapist
Primary
4046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71110303
—
TX
Enumeration date
03/18/2008
Last updated
09/29/2016
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