Jerry Mitchell Edmondson in Saint Louis - Professional
Jerry Mitchell Edmondson - NPI 1528229598
Jerry Mitchell Edmondson is a Professional in Saint Louis, Missouri. Jerry Mitchell Edmondson practices all healthcare services and medical treatments related to Professional. The NPI Number for Jerry Mitchell Edmondson is 1528229598. The last update date is 2014-06-03.
Jerry Mitchell Edmondson's current location address is 2849 Hampton Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149103099. The mailing address for Jerry Mitchell Edmondson is 2849 Hampton Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Mitchell Edmondson |
|---|---|
| Address | 2849 Hampton Ave, Saint Louis, Missouri |
| Phone Number | 3149103099 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LPC |
NPI Number Detail
| NPI Number | 1528229598 |
|---|---|
| Provider Enumeration Date | 2008-06-22 |
| Last Updated Date | 2014-06-03 |
Provider Mailing Address Detail
| Address | 2849 Hampton Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631392626 |
| Phone Number | 3149103099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2008012530 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2008012530 | MO | LICENSED NUMBER FOR STATE OF M |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry Mitchell Edmondson by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Mitchell Edmondson has been assigned the NPI (National Provider Identifier) 1528229598. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jerry Mitchell Edmondson is physically located?
The Jerry Mitchell Edmondson is physically situated at the following address: 2849 Hampton Ave, Saint Louis, MO, 631392626.
What is Jerry Mitchell Edmondson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Mitchell Edmondson is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
When did the Jerry Mitchell Edmondson receive its 1528229598?
The Jerry Mitchell Edmondson was issued its 1528229598 on 2008-06-22, which is the date when the organization was assigned this unique identifier.
When was the Jerry Mitchell Edmondson's information last updated?
The Jerry Mitchell Edmondson's information was last updated on 2014-06-03.