Individual
TAMELA ELEASIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CMHC, NCC, LPC
Contact information
Practice address
771 BADGER RD STE 205, NORTH POLE, AK 99705-5710
(907) 651-8808
Mailing address
PO BOX 55846, NORTH POLE, AK 99705-0846
(404) 454-3377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
167128
AK
101YP2500X
Professional Counselor
167128
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167128
PROFESSIONAL COUNSELOR
AK
Enumeration date
08/28/2019
Last updated
05/11/2022
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