Individual
JOHN WAYNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC, LMFT, LCAS
Contact information
Practice address
242 S BRAGG BLVD, SPRING LAKE, NC 28390-3929
(910) 916-7881
(910) 436-5343
Mailing address
242 S BRAGG BLVD, SPRING LAKE, NC 28390-3929
(910) 916-7881
(910) 436-5343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20174
NC
101YM0800X
Mental Health Counselor
9504
NC
106H00000X
Marriage & Family Therapist
Primary
1501
NC
Other
Enumeration date
01/03/2013
Last updated
07/22/2022
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