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NPI Code Detail

MEDICARE: STEVEN DEAN EDWARDS LMHC, IADC

MEDICARE:   STEVEN DEAN EDWARDS  LMHC, IADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor15074IA
2101YM0800XMental Health Counselor110127IA

General Provider Information

NPI Number : 1548622921
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DEAN EDWARDS LMHC, IADC
Provider Business Mailing Address
First Line : 609 GRAND AVE
Second Line :
City : STORM LAKE
State : IA
Zip : 50588-1544
Country : US
Telephone Number : 712-730-5014
Fax Number :
Provider Business Practice Location Address
First Line : 824 FLINDT DR
Second Line :
City : STORM LAKE
State : IA
Zip : 50588-3208
Country : US
Telephone Number : 712-363-4073
Fax Number : 712-264-3158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2016
Last Update Date : 10/27/2023

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Directions to “ STEVEN DEAN EDWARDS LMHC, IADC” Practice Location

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