Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | KY |
NPI | 1356685564 |
---|---|
Provider Name | Dr. Gerald Patrick Adamson |
First Address | Leitchfield, KY 42754-7653 |
Second Address | Leitchfield, KY 42754-7653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2012 |
Last Update Date | 12/11/2012 |