Individual
LAURA EVELYN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
(503) 630-8550
Mailing address
PO BOX 546, GRESHAM, OR 97030-0132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3962
OR
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500707930
—
OR
Enumeration date
05/24/2011
Last updated
01/09/2025
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