Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clinton Jamie Edwards, MA, MED, LCAS, CSI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376108191

Mr. Clinton Jamie Edwards, MA, MED, LCAS, CSI is an Addiction (Substance Use Disorder) Counselor in Mount Airy, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

1151 W Lebanon St Ste 200
Mount Airy, NC 27030-2225
Phone: (276) 728-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3169 North Carolina Highway South, Walnut Cove, NC 27052 — (336) 306-4636

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-2133 (NC)

Record details

NPI number1376108191
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , MED , LCAS , CSI
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

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