Individual
REVA LYNETTE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECI
Contact information
Practice address
2109 SCHAFFNER AVE, LOUISVILLE, KY 40210-2248
(502) 214-7825
Mailing address
2109 SCHAFFNER AVE, LOUISVILLE, KY 40210-2248
(502) 214-7825
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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