| Doctor Name: | BARBARA VOLZ EDMISTON |
| NPI Number: | 1902812274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 10544 |
| Business Practice Address: | 204 Forest South Dr Whitehouse, TX - 757913708 |
| Business Phone Number: | 9032163116 |
| Business Fax Number: | 9038399426 |
| Mailing Address: | Po Box 1548, JACKSONVILLE |
| State: | TX |
| Postal Code: | 757661548 |
| Phone Number: | 9032163116 |
| Fax Number: | 9038399426 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 10544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |