Individual
MS. STEPHANIE JO EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
4101 E PIERCE ST, PHOENIX, AZ 85008-6413
(423) 284-5926
(866) 583-8017
Mailing address
4101 E PIERCE ST, PHOENIX, AZ 85008-6413
(423) 284-5926
(866) 583-8017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2470
TN
101YP2500X
Professional Counselor
LPC0000002470
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259422
NATIONAL CERTIFICATION
—
05
—
Q001722
—
TN
Enumeration date
03/02/2010
Last updated
04/19/2022
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