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Individual

EDWARD CHARLES DUDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NCC, LPC

Contact information

Practice address
421 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-1704
(208) 664-1606
Mailing address
PO BOX 3745, COEUR D ALENE, ID 83816-2529
(208) 664-1606

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-4387
ID
101YM0800X
Mental Health Counselor
Primary
LPC-4387
ID

Other

Enumeration date
07/13/2010
Last updated
07/13/2010
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