Individual
MR. KEITH RAYMOND MCADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
411 ANDREWS RD, SUITE 130, DURHAM, NC 27705-2993
(919) 682-5777
(919) 687-6975
Mailing address
411 ANDREWS STREET, SUITE 130, DURHAM, NC 27705
(919) 682-5777
(919) 687-6975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1623
NC
1041C0700X
Clinical Social Worker
C006674
NC
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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