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NPI Code Detail

MEDICARE: ASHLEY NICOLE EDMUNDSON LPC

MEDICARE: ASHLEY NICOLE EDMUNDSON LPC
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
1101YP2500XProfessional Counselor86452TX

General Provider Information

NPI Number : 1952099434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE EDMUNDSON LPC
Provider Business Mailing Address
First Line : 1001 E TYLER AVE
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-7135
Country : US
Telephone Number : 956-423-1194
Fax Number :
Provider Business Practice Location Address
First Line : 1001 E TYLER AVE
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-7135
Country : US
Telephone Number : 956-423-1194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2023
Last Update Date : 04/24/2023

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