Calvin A. Edmundson, LPC
Counselor, Professional in Columbia, SC. Individual provider (NPI-1).
NPI number1962014175
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1962014175
- Entity type
- Individual (NPI-1)
- Name
- Calvin A. Edmundson
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7568 | SC | Yes |
Practice location
4605 Monticello Rd Ste 3Columbia, SC 29203-4156
Phone 803-754-0151 · Fax 803-691-1778
Mailing address
169 Laurelhurst AveColumbia, SC 29210-3825
Phone 803-733-5969 · Fax 803-753-5591
Other practice locations
391 Serpentine Dr Ste 400
Spartanburg, SC 29303-3081
Spartanburg, SC 29303-3081
Phone 864-560-7517 · Fax 864-560-7520
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