Individual
KEVIN EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MA, LPCC, LICDC
Contact information
Practice address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-5690
Mailing address
647 ROEBLING RD, CINCINNATI, OH 45238-5552
(513) 289-8839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.131124
OH
101YP2500X
Professional Counselor
Primary
E.1700215
OH
Other
Enumeration date
04/01/2014
Last updated
02/19/2018
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