Doctor Name: | RANDY ADKINS |
NPI Number: | 1194081638 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 67688 |
Business Practice Address: | 136 Old San Antonio Rd Ste 401 Boerne, TX - 780063337 |
Business Phone Number: | 8303318962 |
Business Fax Number: | 8303318964 |
Mailing Address: | 136 Old San Antonio Rd, Ste 401 BOERNE |
State: | TX |
Postal Code: | 780063337 |
Phone Number: | 8303318962 |
Fax Number: | 8303318964 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 67688 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |