Most Relevant Information
Provider Data
| NPI Number: | 1003392408 |
| Provider Name: | BRITTANY EDMONDSON LCSW, LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | ACD.0001010 |
Most Important Dates
| Enumeration Date: | 07/18/2018 |
| Last Updated: | 08/18/2022 |
Provider Practice Location
701 HOSPITAL LOOP STE 350
FAIRCHILD AFB
WA
990118704
Practice Location Phone/Fax
| Phone: | 5092472731 |
| Fax: | 5092474499 |
Provider Mailing Location
701 HOSPITAL LOOP STE 350
FAIRCHILD AFB
WA
990118704
Provider Mailing Phone/Fax
| Phone: | 5092472731 |
| Fax: | 5092474499 |