Rodney Adams

Individual provider Active NPI Mental Health Counselor · Rimrock, AZ

NPI 1376968057 · NPPES record last updated Mar 4, 2014

Key facts

NPI
1376968057
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3095 Coronado Trail
Rimrock, AZ 86335-5284
Phone
(928) 567-1322
NPI assigned
Mar 4, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3095 Coronado Trail
Rimrock, AZ 86335-5284

Mailing address

3095 Coronado Trail
Rimrock, AZ 86335
Phone (928) 567-1322

Other identifiers

IdentifierTypeStateIssuer
107530OtherCOPPER CANYON ACADEMY

Other providers in Rimrock, AZ

All providers in Rimrock, AZ · Mental Health Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.