Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLINTON JAMIE EDWARDS, MA, M.ED, LCAS, CSI
ActiveAddiction (Substance Use Disorder) Counselor · MOUNT AIRY, NC
Registration Details
- NPI Number
- 1376108191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2019 (6.9728861595427 yrs)
- Last Updated
- Mar 7, 2022
- License
-
LCAS-2133 (NC)
Practice Information
- Address
-
1151 W LEBANON ST STE 200MOUNT AIRY, NC, 270302225Browse NC providers · Browse ZIP 27030
- Phone
- 2767286703
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MOUNT AIRY, NC
| Name | Credential | NPI |
|---|---|---|
| MS. TEREIA SIDDEN COOK | LPC, LCAS, CCS | 1720161136 |
| MR. CRAIG KENDLE AREY | LPC, LCAS, CCS | 1811041858 |
| MR. BRUCE HUNTER CORREGAN | MA | 1285852533 |
| MR. PETER RUSSELL MCGUIRE | MDIV, LCAS | 1376845420 |
| DARRIN BOWEN | LCAS | 1427440536 |
| RITCHIE D PUCKETT | LCAS-A | 1093198954 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.