person
Mr. James Raynard Edwards, MED
Mental Health Counselor in Osceola, Arkansas
NPI 1871849422

James Raynard Edwards is a Mental Health Counselor based in Jonesboro, AR and is specialized in Mental Health. James Raynard Edwards practices in Osceola, AR and has the professional credentials of MED. The NPI Number for James Raynard Edwards is 1871849422 and holds a License No. P2002014 (Arkansas).

The current practice location address for James Raynard Edwards is 3201 W. Keiser, Osceola, AR and can be reached out via phone at 870-622-0592 and via fax at 870-622-0782.

Location: 3201 W. Keiser, Osceola, AR, 72405-7870
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Provider Profile Details
NPI Number
1871849422
Provider Name
James Raynard Edwards
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
3201 W. Keiser, Osceola, AR, 72405-7870
Phone Number
870-622-0592
Fax Number
870-622-0782
Provider Enumeration Date
08/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
238797719 05 AR
institution
Provider Business Practice Location Address Details
Address
3201 W. Keiser
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-622-0782
person
Provider Business Mailing Address Details
Address
3201 W. Keiser
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-622-0782
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P2002014 (Arkansas)
Definition
Definition to come...
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