| Doctor Name: | ELENA LOUISE EDWARDS |
| NPI Number: | 1003186743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADCA |
| License Number: | I2691207 |
| Business Practice Address: | 812 W Town And Country Rd Orange, CA - 928684712 |
| Business Phone Number: | 7145476494 |
| Business Fax Number: | 7145479990 |
| Mailing Address: | 812 W Town And Country Rd, ORANGE |
| State: | CA |
| Postal Code: | 928684712 |
| Phone Number: | 7145476494 |
| Fax Number: | 7145479990 |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | I2691207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |