Gwendolyn T Edmond, LPC
Counselor, Professional in Dublin, GA. Individual provider (NPI-1).
NPI number1851870331
StatusActive
Last updated in NPPESAug 7, 2018
Details
- NPI
- 1851870331
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn T Edmond
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2018
- Last updated
- Aug 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC004269 | GA | Yes |
Practice location
103 Mercer Dr Ste BDublin, GA 31021-4257
Phone 478-274-3012 · Fax 478-274-7948
Mailing address
2121 Bellevue Rd Ste BDublin, GA 31021-2952
Phone 478-274-3012 · Fax 478-274-7948
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