| Doctor Name: | MS. JENNIFER EYVETTE EDMONDS |
| NPI Number: | 1124324603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC, LPC |
| License Number: | PC003574 |
| Business Practice Address: | 1008 7th Ave Beaver Falls, PA - 150104530 |
| Business Phone Number: | 7248430816 |
| Business Fax Number: | |
| Mailing Address: | 306 14th Ave, NEW BRIGHTON |
| State: | PA |
| Postal Code: | 150661135 |
| Phone Number: | 7242633091 |
| Fax Number: | 7248430818 |
| NPI Enumeration Date: | 02/01/2011 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC003574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |