Provider Demographics
NPI:1043841943
Name:EDWARDSON, HANNAH (MA, LCMHC, NCC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:EDWARDSON
Suffix:
Gender:F
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WIND CHIME COURT, UNIT B
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:980-484-2111
Mailing Address - Fax:704-259-0480
Practice Address - Street 1:150 WIND CHIME COURT, UNIT B
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:980-484-2111
Practice Address - Fax:704-259-0480
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health