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General NPI Number Information
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NPI Number | 1609754605
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Entity Type | Individual
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Provider Name | JOHN DROSTEN EDWARDS JR. MS, LPC-ASSOCIATE
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 550 S WATTERS RD STE 123
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City | ALLEN
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State | TX
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Zip | 75013-5225
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Country | US
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Telephone | 401-526-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 275 E VISTA RIDGE MALL DR APT 7132
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City | LEWISVILLE
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State | TX
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Zip | 75067-4034
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Country | US
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Telephone | 972-841-8753
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 99817
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License Number State | TX
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