Individual
MRS. DIANA CHIMA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CADC
Contact information
Practice address
5043 FRANKFORD AVE, PHILADELPHIA, PA 19124-2644
(215) 744-4343
Mailing address
PO BOX 45280, PHILADELPHIA, PA 19124-8295
(215) 720-2123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16690
PA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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