Individual
DURRELL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1633 TIMBERLANE EST DR, HARVEY, LA 70058-5128
(321) 604-8762
Mailing address
1633 TIMBERLANE EST DR, HARVEY, LA 70058-5128
(321) 604-8762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/31/2017
Last updated
04/06/2021
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