IndividualActive
Craig Edmondson, BS ED BHRS
NPI 1003186016 · Mental Health Counselor · Tishomingo, OK
Provider details
- NPI number
- 1003186016
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BS ED BHRS
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
84 Pecan St
Durant, OK 74701-7400
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.