Edwards, Clinton Jamie

Edwards, Clinton Jamie is an individual health care provider with primary practice located at 1151 W Lebanon St Ste 200 , Mount Airy NC 27030-2225. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Edwards, Clinton Jamie can be contacted via phone (276) 728-6703.

Contact Information

Primary practice address
1151 W Lebanon St Ste 200 Mount Airy NC 27030-2225
Phone: (276) 728-6703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-2133 North Carolina

Profile Details

NPI number 1376108191
LBN Legal business name Edwards, Clinton Jamie
Credentials MA, M.ED, LCAS, CSI
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2019
Last updated Mar 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers