IndividualActive
Jason Edwards, PHD
NPI 1942900238 · Counseling Psychologist · Columbia, MO
Provider details
- NPI number
- 1942900238
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2022012889 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3705 Forum Blvd Apt 115
Columbia, MO 65203-6803
Phone: (617) 733-2814
Approximate (ZIP-level) locationGet directions
Mailing address
3705 Forum Blvd Apt 115
Columbia, MO 65203-6803
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.