Provider Demographics
NPI:1609754605
Name:EDWARDS, JOHN DROSTEN JR (MS, LPC-ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DROSTEN
Last Name:EDWARDS
Suffix:JR
Gender:M
Credentials:MS, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 E VISTA RIDGE MALL DR APT 7132
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4034
Mailing Address - Country:US
Mailing Address - Phone:972-841-8753
Mailing Address - Fax:
Practice Address - Street 1:550 S WATTERS RD STE 123
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5225
Practice Address - Country:US
Practice Address - Phone:401-526-4522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health