Individual
MICHAEL TRAVIS ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
248480
KY
101YP2500X
Professional Counselor
Primary
248480
KY
Other
Enumeration date
11/14/2013
Last updated
05/13/2020
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