Individual
JESSICA STRINGFIELD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0183041
NM
101YP2500X
Professional Counselor
Primary
LPC011124
GA
101YP2500X
Professional Counselor
LPC7133
SC
104100000X
Social Worker
MSW008863
GA
Other
Enumeration date
05/14/2019
Last updated
12/06/2019
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