Individual
ADAM RAY MCPHETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC
Contact information
Practice address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 354-6685
(740) 529-0553
Mailing address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 351-9298
(740) 529-0553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272138
—
OH
Enumeration date
11/03/2017
Last updated
04/30/2025
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