IndividualActive
Dylan Edwards
NPI 1508387747 · Mental Health Counselor · Enterprise, OR
Provider details
- NPI number
- 1508387747
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 19-QMHA-I-02381 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Practice location
207 Sw 1st St
Enterprise, OR 97828-1203
Phone: (541) 426-4524
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 268
Enterprise, OR 97828-0268
Registry dates
- Enumerated
- 2017-06-28
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.