Provider Demographics
NPI:1114312535
Name:EDGAR, ANDREW (LCPC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:EDGAR
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 KARMEN RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7310
Mailing Address - Country:US
Mailing Address - Phone:406-202-3554
Mailing Address - Fax:
Practice Address - Street 1:1679 KARMEN RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7310
Practice Address - Country:US
Practice Address - Phone:406-202-3554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSWP-LCPC-7893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health