Individual provider · NPI-1
Dallas Jacob Adamson, CDCA
Counselor, Addiction (Substance Use Disorder) · Portsmouth, OH
NPI number1801525290
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1801525290
- Entity type
- Individual (NPI-1)
- Name
- Dallas Jacob Adamson
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.185306 | OH | Yes |
Practice location
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685 · Fax 740-876-4005
Mailing address
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685 · Fax 740-876-4005
Other practice locations
411 Court St
Portsmouth, OH 45662-3932
Portsmouth, OH 45662-3932
Phone 740-354-6685
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