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Individual

ANDREW EDMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3808 ROBERT E LEE DR, NORTH PRINCE GEORGE, VA 23860-7522
(804) 324-6507
Mailing address
3808 ROBERT E LEE DR, NORTH PRINCE GEORGE, VA 23860-7522
(804) 324-6507

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3030
VA
Enumeration date
01/17/2019
Last updated
01/17/2019
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