Individual
ALEXUS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SOUTHERN AVE, DORCHESTER, MA 02124-2012
(617) 708-0870
Mailing address
10 LAKEWOOD PARK DR, ORMOND BEACH, FL 32174-5172
(904) 844-1814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
07/31/2018
Last updated
09/13/2024
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