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Elizabeth J Edmonson
Professional Counselor in Azle, Texas
NPI 1740068055

Elizabeth J Edmonson is a Professional Counselor based in Azle, TX and is specialized in Professional. Elizabeth J Edmonson practices in Azle, TX. The NPI Number for Elizabeth J Edmonson is 1740068055 and holds a License No. 71197 (Texas).

The current practice location address for Elizabeth J Edmonson is 111 W Shangri La Dr, Azle, TX and can be reached out via phone at 817-771-4856.

Location: 111 W Shangri La Dr, Azle, TX, 76020-1215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740068055
Provider Name
Elizabeth J Edmonson
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 W Shangri La Dr, Azle, TX, 76020-1215
Phone Number
817-771-4856
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 W Shangri La Dr
City
Azle
State
Texas
Zip
76020-1215
Phone Number
817-771-4856
Fax Number
person
Provider Business Mailing Address Details
Address
111 W Shangri La Dr
City
Azle
State
Texas
Zip
76020-1215
Phone Number
817-771-4856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
71197 (Texas)
Definition
Definition to come...
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