Individual
MS. RACHAEL METTHEA EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC
Contact information
Practice address
404 E BATTLEFIELD ST, SPRINGFIELD, MO 65807-4802
(417) 865-8045
(417) 865-1007
Mailing address
404 E BATTLEFIELD ST, SPRINGFIELD, MO 65807-4802
(417) 865-8045
(417) 865-1007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2438
MO
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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