| Doctor Name: | MR. ADAM DAVID COUCH |
| NPI Number: | 1003129636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3692 Hickory Ave Eugene, OR - 974015306 |
| Business Phone Number: | 5412847800 |
| Business Fax Number: | |
| Mailing Address: | 1790 W 11th Ave, EUGENE |
| State: | OR |
| Postal Code: | 974023758 |
| Phone Number: | 5416861262 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2010 |
| NPI Last Update Date: | 07/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |