Individual
ADAM JOHN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
6161 BUSCH BLVD STE 290, COLUMBUS, OH 43229-2587
(614) 987-5003
Mailing address
6161 BUSCH BLVD STE 290, COLUMBUS, OH 43229-2587
(614) 987-5003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185165
OH
175T00000X
Peer Specialist
APS.004048
OH
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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