Individual
DEBORAH KAYE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
5016 N ILLINOIS ST, SUITE A, FAIRVIEW HEIGHTS, IL 62208-3411
(618) 398-7250
(618) 234-6311
Mailing address
5016 N ILLINOIS ST, SUITE A, FAIRVIEW HEIGHTS, IL 62208-3411
(618) 398-7250
(618) 234-6311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178011822
IL
101YM0800X
Mental Health Counselor
Primary
178.011822
IL
101YP2500X
Professional Counselor
178011822
IL
Other
Enumeration date
03/01/2016
Last updated
11/13/2023
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