Individual
EDWARD FELIX RAZO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC BSW
Contact information
Practice address
539 BELLWOOD DR APT B, ELIZABETHTOWN, KY 42701-2337
(270) 312-2500
Mailing address
537 BELLWOOD DR APT B, ELIZABETHTOWN, KY 42701-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
264602
KY
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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