IndividualActive
Edgar Conway, CRAADC/SQP
NPI 1033996772 · Addiction (Substance Use Disorder) Counselor · Saint Louis, MO
Provider details
- NPI number
- 1033996772
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CRAADC/SQP
- Sex
- Male
- Sole proprietor
- No
- License
- 923 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4218 N Grand Blvd
Saint Louis, MO 63107-1806
Phone: (314) 534-6624
Approximate (ZIP-level) locationGet directions
Mailing address
4218 N Grand Blvd
Saint Louis, MO 63107-1806
Registry dates
- Enumerated
- 2023-09-14
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.