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Individual

MR. ERIC LEONARD EDMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.M.F.T., C.I.T.

Contact information

Practice address
1901B AIRLINE DR, METAIRIE, LA 70001-5936
(504) 833-4673
(504) 885-0400
Mailing address
1901B AIRLINE DR, METAIRIE, LA 70001-5936
(504) 833-4673
(504) 885-0400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C.I.T., #2759
LA
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/07/2012
Last updated
03/07/2012
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