person
Calvin Austin Edmundson, LPC
Professional Counselor in Columbia, South Carolina
NPI 1962014175

Calvin Austin Edmundson is a Professional Counselor based in Columbia, SC and is specialized in Professional. Calvin Austin Edmundson practices in Columbia, SC and has the professional credentials of LPC. The NPI Number for Calvin Austin Edmundson is 1962014175 and holds a License No. 7568 (South Carolina).

The current practice location address for Calvin Austin Edmundson is 4605 Monticello Rd Ste 3, Columbia, SC and can be reached out via phone at 803-754-0151 and via fax at 803-691-1778.

Location: 4605 Monticello Rd Ste 3, Columbia, SC, 29210-3825
person
Provider Profile Details
NPI Number
1962014175
Provider Name
Calvin Austin Edmundson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4605 Monticello Rd Ste 3, Columbia, SC, 29210-3825
Phone Number
803-754-0151
Fax Number
803-691-1778
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4605 Monticello Rd Ste 3
City
State
Zip
29203-4156
Phone Number
803-754-0151
Fax Number
803-691-1778
person
Provider Business Mailing Address Details
Address
4605 Monticello Rd Ste 3
City
State
Zip
29203-4156
Phone Number
803-754-0151
Fax Number
803-691-1778
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7568 (South Carolina)
Definition
Definition to come...
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