MEDICARE: DANA E EDGERTON 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
1	101YP2500X	Professional Counselor	68595	TX

General Provider Information

NPI Number	:	1437697703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA E EDGERTON LPC

Provider Business Mailing Address
First Line	:	707 W 10TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-2033
Country	:	US
Telephone Number	:	512-507-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 S CAPITAL OF TEXAS HWY STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6544
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	12/08/2025

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Directions to “ DANA E EDGERTON LPC” Practice Location

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