Individual
MRS. AIMEE EDWARDS GAEDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
161 E MALLARD DR, BOISE, ID 83706-5015
(208) 605-3657
(208) 620-2306
Mailing address
17015 TURIN RDG, SAN ANTONIO, TX 78255-3801
(757) 323-6033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1021
ID
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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