Individual
GREGG EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTERS DEGREE
Contact information
Practice address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 713-0177
Mailing address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 713-0177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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