Individual
JONATHAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, NCC, LPC
Contact information
Practice address
2214 N ATHERTON ST, SUITE 4, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569
Mailing address
2214 N ATHERTON ST, SUITE 4, STATE COLLEGE, PA 16803-1544
(814) 237-0567
(814) 237-0569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009411
PA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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