Doctor Name: | CLEVERICK M ADAMS |
NPI Number: | 1245421841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | MAC-23612 |
Business Practice Address: | 7432 Highway 50 Suite 109 Groveland, FL - 347369322 |
Business Phone Number: | 4074702195 |
Business Fax Number: | 4074459145 |
Mailing Address: | 7432 Highway 50, Suite 109 GROVELAND |
State: | FL |
Postal Code: | 347369322 |
Phone Number: | 4074702195 |
Fax Number: | 4074459145 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MAC-23612 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |