Organization
EDGE CLINICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TERRELL JONES LCSW (OWNER)
(757) 289-2571
Entity
Organization
Contact information
Practice address
1249 CEDAR MILL SQ, CHESAPEAKE, VA 23320-2747
(757) 289-2571
Mailing address
PO BOX 2435, CHESAPEAKE, VA 23327-2435
(757) 289-2571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154984698
NPPES
VA
Enumeration date
04/19/2019
Last updated
04/19/2019
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