Individual
JESSICA EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 DEXTER AVE, ERIE, PA 16504-2444
(814) 825-2930
Mailing address
949 W 30TH ST, ERIE, PA 16508-1645
(814) 323-3168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011311
PA
Other
Enumeration date
09/18/2020
Last updated
12/31/2025
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