SearchNorth Carolina101YA0400X

Clinton Edwards, MA, M.ED, LCAS, CSI

NPI 1376108191 · on the registry since 2019

Practice

Address
1151 W Lebanon St Ste 200
Mount Airy, NC 27030
Phone
(276) 728-6703
Organisation at this address
Cabin Village And Associates, Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 3169 North Carolina Highway South, Walnut Cove, NC

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina