ETHAN EDWARDS LPCA NPI 1932697398

NPI Information

Ethan Edwards, LPCA is a counselor in Bowling Green, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Ethan Edwards, LPCA NPI is 1932697398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

380 SUWANNEE TRAIL ST
BOWLING GREEN, KY
ZIP 42103-956
Phone: (270) 901-5000
Fax: (270) 842-5268

The enumeration date for this NPI number is 5/1/2018 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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