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Individual

DR. REGINALD ADKISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4492
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-4492

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008173
IL
103TC0700X
Clinical Psychologist
PY61017237
WA

Other

Enumeration date
04/26/2007
Last updated
02/16/2023
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