Individual
MS. AURELIA RENEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
316 BIMSON AVE, BERTHOUD, CO 80513-1393
(505) 896-1777
Mailing address
316 BIMSON AVE, BERTHOUD, CO 80513-1393
(505) 896-1777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
088861
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90531329
—
NM
Enumeration date
06/19/2007
Last updated
10/06/2021
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