Individual
CARLTON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 VIA VISIONE, UNIT 102, HENDERSON, NV 89011-3699
(214) 417-0681
Mailing address
23 VIA VISIONE, UNIT 102, HENDERSON, NV 89011-3699
(214) 417-0681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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