Individual
DR. TODD DEWAYNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2540 FLOWOOD DR STE 1-A, FLOWOOD, MS 39232-9362
(601) 939-5993
Mailing address
PO BOX 4454, BRANDON, MS 39047
(601) 507-3230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1459
MS
106H00000X
Marriage & Family Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
10/22/2010
Last updated
03/17/2018
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