Edwards, Jason L
Edwards, Jason L is an sole proprietor health care provider with primary practice located at 3705 Forum Blvd Apt 115 , Columbia MO 65203-6803. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Edwards, Jason L can be contacted via phone (617) 733-2814.Contact Information
Primary practice address
3705 Forum Blvd Apt 115
Columbia MO 65203-6803
Phone: (617) 733-2814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2022012889 | Missouri |
Profile Details
| NPI number | 1942900238 |
|---|---|
| LBN Legal business name | Edwards, Jason L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2023 |
| Last updated | Mar 6th, 2023 - about last year |
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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