EDWARD KERWIN III


Address: 1661 N Swan Rd Ste 310, Tucson, AZ 85712-4075
Phone: 5209554809

EDWARD KERWIN III (NPI# 1083087100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083087100
Entity Type Individual
Full Name EDWARD KERWIN III
Credential LPC
Practice Address 1661 N Swan Rd Ste 310
Tucson
AZ 85712-4075
Practice Telephone 5209554809
Practice Fax Number 5209554809
Mailing Telephone (520) 955-4809
Enumeration Date 2015-11-11
Last Update Date 2017-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor LPC-15858 AZ Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
LPC-15858 AZ Behavioral Health & Social Service Providers

Other Providers EDWARD KERWIN

NPI Name Taxonomy Address Enumeration
1568465847 Edward Kerwin Allergy & Immunology 3860 Crater Lake Ave, Medford, OR 97504-9741 2005-05-31
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Office Location

Street Address 1661 N SWAN RD STE 310
City TUCSON
State AZ
Zip Code 85712-4075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952820243 He Said She Said Counseling Center Community/Behavioral Health 1661 N Swan Rd Ste 310, Tucson, AZ 85712-4075 2017-09-18

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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