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Individual

DR. JOSHUA MICHAEL EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC, LMHC, NCC

Contact information

Practice address
242 MOODY RD, ENFIELD, CT 06082-3221
(502) 554-4409
Mailing address
242 MOODY RD, ENFIELD, CT 06082-3221
(502) 554-4409

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11955
MA
101YP2500X
Professional Counselor
Primary
4570
CT
103TC1900X
Counseling Psychologist
73872
TX

Other

Enumeration date
01/14/2020
Last updated
10/26/2021
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