Most Relevant Information
Provider Data
| NPI Number: | 1003043142 |
| Provider Name: | WILLIAM ALEXANDER EDMONDS PHD, BCIAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | B 5020 |
Most Important Dates
| Enumeration Date: | 06/16/2009 |
| Last Updated: | 06/16/2009 |
Provider Practice Location
1750 NE 167TH ST
NORTH MIAMI BEACH
FL
331623017
Practice Location Phone/Fax
| Phone: | 3053220423 |
| Fax: |
Provider Mailing Location
PO BOX 600568
NORTH MIAMI BEACH
FL
331600568
Provider Mailing Phone/Fax
| Phone: | 3053220423 |
| Fax: |