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NPI Code Detail

MEDICARE: CYNTHIA HELEN EDWARDS

MEDICARE:   CYNTHIA HELEN EDWARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorL16631OR

General Provider Information

NPI Number : 1487293593
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA HELEN EDWARDS
Provider Business Mailing Address
First Line : 90871 ROBERTSON LN
Second Line :
City : COOS BAY
State : OR
Zip : 97420-8759
Country : US
Telephone Number : 541-217-3051
Fax Number :
Provider Business Practice Location Address
First Line : 281 LACLAIR ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2988
Country : US
Telephone Number : 541-266-6733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 03/31/2026

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Directions to “ CYNTHIA HELEN EDWARDS ” Practice Location

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