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Individual

MR. JAMES RAYNARD EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
3201 W. KEISER, OSCEOLA, AR 72370-3467
(870) 622-0592
(870) 622-0782
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
P2002014
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238797719
AR
Enumeration date
08/01/2012
Last updated
07/19/2022
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