Edwards, Clinton Jamie
Edwards, Clinton Jamie is an individual health care provider with primary practice located at 1151 W Lebanon St Ste 200 , Mount Airy NC 27030-2225. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Edwards, Clinton Jamie can be contacted via phone (276) 728-6703.Contact Information
Primary practice address
1151 W Lebanon St Ste 200
Mount Airy NC 27030-2225
Phone: (276) 728-6703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-2133 | North Carolina |
Profile Details
| NPI number | 1376108191 |
|---|---|
| LBN Legal business name | Edwards, Clinton Jamie |
| Credentials | MA, M.ED, LCAS, CSI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2019 |
| Last updated | Mar 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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