Julie Edwards, LPC, NCC, CEAS, CRC

Individual provider Active NPI Counselor · Commerce Township, MI

NPI 1306155304 · NPPES record last updated Oct 22, 2015

Key facts

NPI
1306155304
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
6401009047 (MI)
Practice address
1981 Twilight HL
Commerce Township, MI 48390-2669
Phone
(810) 610-4061
NPI assigned
Sep 25, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401009047MIMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009047 MI Yes

Addresses

Primary practice location

1981 Twilight HL
Commerce Township, MI 48390-2669

Mailing address

1981 Twilight HL
Commerce Township, MI 48390-2669
Phone (810) 610-4061

Other providers in Commerce Township, MI

All providers in Commerce Township, MI · Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.