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Individual

KEVIN EDWARDS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, MA, LPCC, LICDC

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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