Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH5482 | FL |
NPI | 1003157132 |
---|---|
Provider Name | Mr. Adam Nadler |
First Address | Parkland, FL 33067-3306 |
Second Address | Hallandale Beach, FL 33009-4841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2013 |
Last Update Date | 14/03/2013 |