Craig Kendall Edmondson
Mental Health Counselor
801 E Main St
Tishomingo
, Oklahoma 73460-2351
Craig Kendall Edmondson
Mental Health Counselor
801 E Main St
Tishomingo
, Oklahoma 73460-2351
(903) 293-6466
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Craig Kendall Edmondson
- 84 Pecan St
- Durant, OK
- Zip : 74701-7400
- Phone : (903) 293-6466
Second Address
- Craig Kendall Edmondson
- 801 E Main St
- Tishomingo, OK
- Zip : 73460-2351
- Phone : (580) 371-3776
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003186016 |
|---|---|
| Provider Name | Craig Kendall Edmondson |
| First Address | Durant, OK 74701-7400 |
| Second Address | Tishomingo, OK 73460-2351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.