Individual
DAVID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LPCC
Contact information
Practice address
218 W NEZ PERCE, JEROME, ID 83338-5077
(208) 324-3471
Mailing address
218 W NEZ PERCE, JEROME, ID 83338-5077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8321282
ID
101YM0800X
Mental Health Counselor
LPC-23359
AZ
101YM0800X
Mental Health Counselor
LPCC-20894
CA
101YM0800X
Mental Health Counselor
LPCC-CCMH0223451
NM
101YP2500X
Professional Counselor
LPC-23359
AZ
101YP2500X
Professional Counselor
LPCC-20894
CA
Other
Enumeration date
04/14/2021
Last updated
04/20/2026
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