Crystal Edwards

NPI #1205335064 in Charleston, Illinois

Provider Information

NPI Number: 1205335064
Entity Type: Individual
Name: Crystal Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 7, 2018
Last Updated: Feb 7, 2018

Practice Location

Address: 903 W LINCOLN AVE
City: Charleston
State: Illinois
ZIP Code: 61920-2413
Phone: (217) 348-8384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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