Individual
STEPHEN THOMAS EDWARDS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, BCPC
Contact information
Practice address
306 W SADIE ST, BRANDON, FL 33510-4440
(813) 677-4040
(813) 677-4005
Mailing address
306 W SADIE ST, BRANDON, FL 33510-4440
(813) 949-9594
(813) 677-4040
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768633100
—
FL
Enumeration date
04/09/2007
Last updated
05/28/2021
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