Individual
EARL T. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 1
Contact information
Practice address
820 RIVER ST, TROY, NY 12180-1237
(518) 205-3111
Mailing address
820 RIVER ST, TROY, NY 12180-1237
(518) 205-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
41715
NY
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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