Individual
MIYA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1070 W 56TH ST, SAN BERNARDINO, CA 92407-5334
(909) 648-3628
Mailing address
1070 W 56TH ST, SAN BERNARDINO, CA 92407-5334
(909) 648-3628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14915
CA
Other
Enumeration date
11/28/2018
Last updated
12/13/2023
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