Individual
MARIAN LANSDELL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 787-6131
Mailing address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 832-4453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25318
NC
Other
Enumeration date
06/04/2019
Last updated
12/17/2019
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