Individual provider · NPI-1

Caleb Adams

Counselor, Addiction (Substance Use Disorder) · Portsmouth, OH

NPI number1134817091
StatusActive
Last updated in NPPESApr 28, 2023

Details

NPI
1134817091
Entity type
Individual (NPI-1)
Name
Caleb Adams
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 28, 2023
Certification date
Apr 28, 2023
Last updated
Apr 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.184230OHYes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

411 Court St
Portsmouth, OH 45662-3932

Phone 740-354-6685 · Fax 740-876-4005

Mailing address

411 Court St
Portsmouth, OH 45662-3932

Phone 740-354-6685 · Fax 740-876-4005

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