Individual
AMANDA MERVINE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19563 E MAINSTREET STE 206, PARKER, CO 80138-7394
(720) 810-2668
Mailing address
11206 RODEO CIR, PARKER, CO 80138-7345
(720) 810-2668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13551
CO
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153016
—
CO
Enumeration date
10/03/2014
Last updated
07/13/2022
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