Provider Demographics
NPI:1528366523
Name:RIGSBY, EDWARD JR (LPC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:RIGSBY
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 FOX CHASE
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-1372
Mailing Address - Country:US
Mailing Address - Phone:636-287-3508
Mailing Address - Fax:636-287-3508
Practice Address - Street 1:1107 FOX CHASE
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-1372
Practice Address - Country:US
Practice Address - Phone:636-287-3508
Practice Address - Fax:636-287-3508
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional