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Jared Tyler Adams

Peer Specialist in Louisa, KY. Individual provider (NPI-1).

NPI number1043889751
StatusActive
Last updated in NPPESJun 18, 2021

Details

NPI
1043889751
Entity type
Individual (NPI-1)
Name
Jared Tyler Adams
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2021
Certification date
Jun 18, 2021
Last updated
Jun 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

125 S Main Cross St
Louisa, KY 41230-1065

Phone 606-638-0938

Mailing address

125 S Main Cross St
Louisa, KY 41230-1065

Phone 606-638-0938

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