Individual
REGINALD D ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5620 AMES AVE, OMAHA, NE 68104-2754
(402) 453-5388
Mailing address
5620 AMES AVE, OMAHA, NE 68104-2754
(402) 453-5388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8250
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025493100
—
NE
Enumeration date
07/23/2007
Last updated
07/23/2007
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