Individual
ANGELA BONITA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
1402 S CUSTER RD STE 803, MCKINNEY, TX 75072-1453
(469) 714-7558
Mailing address
PO BOX 701204, DALLAS, TX 75370-1204
(313) 399-5750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17161
TX
101YP2500X
Professional Counselor
Primary
91872
TX
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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