Individual
MONIQUE T EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1775 PARKER RD SE STE 210, CONYERS, GA 30094-6654
(404) 317-9785
Mailing address
5102 AZALEA GARDEN DR, ATLANTA, GA 30338-7926
(404) 317-9785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013237
GA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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