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Crystal Edwards
Addiction (Substance Use Disorder) Counselor in Charleston, Illinois
NPI 1205335064

Crystal Edwards is an Addiction (Substance Use Disorder) Counselor based in Charleston, IL and is specialized in Addiction (Substance Use Disorder). Crystal Edwards practices in Charleston, IL. The NPI Number for Crystal Edwards is 1205335064 and holds a License No. 34419 (Illinois).

The current practice location address for Crystal Edwards is 903 W Lincoln Ave, Charleston, IL and can be reached out via phone at 217-348-8384.

Location: 903 W Lincoln Ave, Charleston, IL, 61920-2413
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Provider Profile Details
NPI Number
1205335064
Provider Name
Crystal Edwards
Credential
Provider Entity Type
Individual
Gender
Female
Address
903 W Lincoln Ave, Charleston, IL, 61920-2413
Phone Number
217-348-8384
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
743113035 01 IL FEIN
institution
Provider Business Practice Location Address Details
Address
903 W Lincoln Ave
City
State
Zip
61920-2413
Phone Number
217-348-8384
Fax Number
person
Provider Business Mailing Address Details
Address
903 W Lincoln Ave
City
State
Zip
61920-2413
Phone Number
217-348-8384
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
34419 (Illinois)
Definition
Definition to come...
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