Individual provider · NPI-1

Johnny M Adams, LCSW

Social Worker · Lubbock, TX

NPI number1831247261
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1831247261
Entity type
Individual (NPI-1)
Name
Mr. Johnny M Adams
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
Jan 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker514366TXYes

Practice location

3502 22nd St
Lubbock, TX 79410-1308

Phone 806-771-5595 · Fax 806-799-6299

Mailing address

3502 22nd St
Lubbock, TX 79410-1308

Phone 806-771-5595 · Fax 806-799-6299

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