Individual
BRENDON K ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP60566337
Contact information
Practice address
201 HIGHLAND DRIVE, BUENA, WA 98921
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60566337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
11/14/2018
Last updated
11/14/2018
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