Provider / Organization | NPI | Date Certified |
---|---|---|
CHRISTAL EDGESTON | 1912669615 | 2021-10-10 |
Christal Edgeston is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912669615. Registration indicates Christal Edgeston is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: School, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker School, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Christal Edgeston |
Practice Office Address | 84 BOULER DR ATOKA, TN US |
Practice Office Telephone | 9015004908 |
Mailing Address | 84 BOULER DR ATOKA, TN 380047703 US |
Code | Practice | License No State |
---|---|---|
1041S0200X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: School Behavioral Health/Substance Abuse/Psychiatry Social Worker School Behavioral Health & Social Service Providers Social Worker |