Individual
KELLY HAROLD EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT A, LPC INTERN
Contact information
Practice address
4807 SPICEWOOD SPRINGS RD, BUILDING 1, #1140, AUSTIN, TX 78759
(512) 843-7665
Mailing address
4807 SPICEWOOD SPRINGS RD, BUILDING 1, #1140, AUSTIN, TX 78759
(512) 843-7665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
81634
TX
106H00000X
Marriage & Family Therapist
Primary
203393
TX
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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