Individual
MRS. CHASITY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDC, NCAC II
Contact information
Practice address
491 E RIVERSIDE DR STE 1A, ST GEORGE, UT 84790-7052
(435) 703-9840
Mailing address
2285 ALAMOSA DR, WASHINGTON, UT 84780-8109
(435) 669-3142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8196340-6006
UT
Other
Enumeration date
05/21/2019
Last updated
06/11/2019
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