Individual
ROOSEVELT ADAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PASTORAL COUNSELOR
Contact information
Practice address
1852 LOCKHILL SELMA RD STE 108, SAN ANTONIO, TX 78213-1500
(210) 789-0588
(210) 271-9414
Mailing address
PO BOX 29735, SAN ANTONIO, TX 78229-0735
(210) 789-0588
(210) 271-9414
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09203449
TEXAS DRIVER'S LICENSE
TX
Enumeration date
02/22/2019
Last updated
02/22/2019
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