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MR. JEFFREY A EDWARDS MDIV, CADC
NPI 1376731000
Counselor - Addiction (Substance Use Disorder) in East Moline, IL

Active since October 09, 2007
926 15TH AVE, EAST MOLINE, IL 61244(309) 752-9740(309) 752-9744 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey A Edwards Mdiv, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY A EDWARDS MDIV, CADC (NPI 1376731000) is an individual addiction (substance use disorder) provider in East Moline, Illinois, licensed in Illinois (A-8601-0002-A) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1376731000
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JEFFREY A EDWARDSCredential: MDIV, CADC
Location Address926 15TH AVEEast Moline, IL 61244-2138
Mailing Address926 15th AveEast Moline, IL 61244-2138 · (309) 752-9740 · Fax (309) 752-9744
Phone(309) 752-9740
Fax(309) 752-9744
Sole ProprietorYes
Enumeration DateOctober 9, 2007
Last NPPES UpdateJanuary 24, 2011
✔ NPI 1376731000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in IL · A-8601-0002-A✔ Licensed in IL · A-8601-0001-A
926 15TH AVE, East Moline, IL 61244
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI-COUNTY ALCOHOL AND DRUG SERVICES LLC
Clinic/Center
926 15TH AVE
EAST MOLINE, IL 61244
Rock Island County (309) 752-9740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Edwards's NPI number?

The NPI number for Jeffrey Edwards is 1376731000. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Jeffrey Edwards located?

Jeffrey Edwards practices at 926 15th Ave, East Moline, IL 61244. The listed phone number is (309) 752-9740.

What is Jeffrey Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeffrey Edwards was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.