Elizabeth J Edmonson

NPI #1740068055 in Azle, Texas

Provider Information

NPI Number: 1740068055
Entity Type: Individual
Name: Elizabeth J Edmonson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 111 W SHANGRI LA DR
City: Azle
State: Texas
ZIP Code: 76020-1215
Phone: (817) 771-4856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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