Individual
JOHNATHAN TODD ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
510 DABNEY DR STE B, HENDERSON, NC 27536-3946
(252) 572-2625
(252) 572-2955
Mailing address
510 DABNEY DR STE B, HENDERSON, NC 27536-3946
(252) 572-2625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27013
NCASPPB
NC
Enumeration date
12/08/2020
Last updated
12/16/2020
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