Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
Y | 101YP2500X | Professional Counselor | PC013252 |
NPI | 1003487448 |
---|---|
Provider Name | Mr. Nicholas Donald Edinger |
First Address | Mars, PA 16046-2215 |
Second Address | Pittsburgh, PA 15237-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2021 |
Last Update Date | 18/08/2021 |