Male or Other

Dr. Keith W. Edmonds ED.D., LPC

Professional Counselor in Evans, GA(View on Map)

Full Name

Dr. Keith Wilson Edmonds ED.D., LPC

NPI Number

1073844395

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/26/2010

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

LPC004579

Contact
Information

Purpose

Mailing
Location

Address

1120 15TH ST
1202 TOWN PARK LN STE 300

City

Augusta
Evans

State

GA
GA

Postal Code

30912-0004
30809-3477

Country

US
US

Telephone Number

(706) 721-3813
(706) 210-8855

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2024

Provider Address

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