Individual
MRS. TERINA GAYE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, SST
Contact information
Practice address
3079 LEHMAN ST, HAMTRAMCK, MI 48212-3581
(313) 685-6384
Mailing address
3079 LEHMAN ST, HAMTRAMCK, MI 48212-3581
(313) 685-6384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803086151
MI
101YM0800X
Mental Health Counselor
6803086151
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6803086151
MENTAL HEALTH ORGANIZATION
MI
Enumeration date
06/14/2011
Last updated
06/14/2011
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