Individual
CAROLE LYNNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8100 THREE CHOPT RD RM 101, RICHMOND, VA 23229-4833
(804) 351-1881
Mailing address
4668 TWIN HICKORY LAKE DR, GLEN ALLEN, VA 23059-2587
(804) 221-4658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0904006526
VA
101YM0800X
Mental Health Counselor
Primary
0904006526
VA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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