| Doctor Name: | STEVEN DEAN EDWARDS |
| NPI Number: | 1548622921 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA, IADC |
| License Number: | 15074 |
| Business Practice Address: | 608 Geneseo St Storm Lake, IA - 505881833 |
| Business Phone Number: | 8002425101 |
| Business Fax Number: | 7122643158 |
| Mailing Address: | 608 Geneseo St, STORM LAKE |
| State: | IA |
| Postal Code: | 505881833 |
| Phone Number: | 8002425101 |
| Fax Number: | 7122643158 |
| NPI Enumeration Date: | 03/24/2016 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15074 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |