JONATHAN TYLER ADAMS

HAZARD, KY
NPI1417617275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  267974)
Enumeration Date2021-12-21
Last Update Date2021-12-21
Business Address
JONATHAN TYLER ADAMS CADC
118 GRAND VUE PLZ
HAZARD, KY 41701-6842
Phone number: 606-487-1646
Mailing Address
JONATHAN TYLER ADAMS CADC
PO BOX 127
ISOM, KY 41824-0127
Phone number:
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