Individual
CHRISTOPHER EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R1476250722
Contact information
Practice address
9826 18TH AVE, BLYTHE, CA 92225-9229
(619) 586-4930
Mailing address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(619) 586-4930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
12/27/2023
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