Individual
DR. JASON L EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3705 FORUM BLVD APT 115, COLUMBIA, MO 65203-6803
(617) 733-2814
Mailing address
3705 FORUM BLVD APT 115, COLUMBIA, MO 65203-6803
(617) 733-2814
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2022012889
MO
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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