Individual
MYRON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC II
Contact information
Practice address
4023 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-2128
(901) 367-7550
Mailing address
4023 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-2128
(901) 367-7550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
064232690
TN
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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