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Janis L Edwards, LCSW
Mental Health Counselor in Park Ridge, Illinois
NPI 1588711790

Janis L Edwards is a Mental Health Counselor based in Park Ridge, IL and is specialized in Mental Health. Janis L Edwards practices in Park Ridge, IL and has the professional credentials of LCSW. The NPI Number for Janis L Edwards is 1588711790 and holds a License No. Q1-0000434 (Illinois).

The current practice location address for Janis L Edwards is 408 Elmore St, Park Ridge, IL and can be reached out via phone at 484-678-3786.

Location: 408 Elmore St, Park Ridge, IL, 60068-3437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588711790
Provider Name
Janis L Edwards
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
408 Elmore St, Park Ridge, IL, 60068-3437
Phone Number
484-678-3786
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000015367 05 DE
institution
Provider Business Practice Location Address Details
Address
408 Elmore St
City
Park Ridge
State
Illinois
Zip
60068-3437
Phone Number
484-678-3786
Fax Number
person
Provider Business Mailing Address Details
Address
408 Elmore St
City
Park Ridge
State
Illinois
Zip
60068-3437
Phone Number
484-678-3786
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
Q1-0000434 (Delaware)
Definition
Definition to come...
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