Individual
DANIEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
Mailing address
914 VICKERS AVE, DURHAM, NC 27701-3145
(919) 724-3146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25353
NC
Other
Enumeration date
04/01/2020
Last updated
03/02/2023
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