Doctor Name: | DR. PATRICIA C ADCOCK |
NPI Number: | 1447500764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1862 |
Business Practice Address: | 1 Coronado Trce Hot Springs Village, AR - 719095436 |
Business Phone Number: | 2818258442 |
Business Fax Number: | |
Mailing Address: | 135 Rainbow Dr # 3544, LIVINGSTON |
State: | TX |
Postal Code: | 773991035 |
Phone Number: | 2818258442 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1862 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |