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Individual

EDWARD BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00254100
NJ
101YP2500X
Professional Counselor
Primary
37PC00516900
NJ
101YP2500X
Professional Counselor

Other

Enumeration date
12/22/2015
Last updated
01/14/2026
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