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Individual

PAUL GERARD ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5529 NW EISENHOWER DR, LAWTON, OK 73505-5826
(580) 678-6631
Mailing address
5529 NW EISENHOWER DR, LAWTON, OK 73505-5826
(580) 678-6631

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7014
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7014
OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH LICENSURE
OK
Enumeration date
02/25/2019
Last updated
02/25/2019
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