| Crystal Edwards, | |
|
903 W Lincoln Ave, Charleston, IL 61920-2413 | |
| (217) 348-8384 | |
| Not Available |
| Full Name | Crystal Edwards |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 903 W Lincoln Ave, Charleston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205335064 | NPI | - | NPPES |
| 743113035 | Other | IL | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34419 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Edwards, 903 W Lincoln Ave, Charleston, IL 61920-2413 Ph: (217) 348-8384 | Crystal Edwards, 903 W Lincoln Ave, Charleston, IL 61920-2413 Ph: (217) 348-8384 |
Mrs. Francesca Lynn Ehlers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 Fax: 217-210-0227 | |
Michael Parrish Dellinger, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Monroe Ave, Charleston, IL 61920 Phone: 217-294-6727 | |
John H Bulthouse Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 W Lincoln Ave Ste 8, Charleston, IL 61920 Phone: 217-254-6582 | |
Shelby Renee Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 | |
Amanda Fedder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 | |
Chuck L Mason, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 |