NPI 1548715543

Alexa Edwards, LMSW

Practitioner Mental Health Counselor Malad City, ID

Practice location

Address: 215 E 50 S, Malad City, ID 83252-2300
Phone: (208) 766-2365
Fax: (208) 766-2364
Mailing address: 115 W 300 N, Malad City, ID 83252-1137

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 35927 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1548715543
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2016
Record last updated: 12 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.