| Doctor Name: | JOSEPH EDWARDS |
| NPI Number: | 1013184084 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LBSW, CAAC |
| License Number: | |
| Business Practice Address: | 6555 W Maple Rd West Bloomfield, MI - 483224926 |
| Business Phone Number: | 2485922300 |
| Business Fax Number: | 2485922340 |
| Mailing Address: | 6555 W Maple Rd, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483224926 |
| Phone Number: | 2485922300 |
| Fax Number: | 2485922340 |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |