Vincent Lamont Adkison, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Shelby, OH
NPI 1821594037 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1821594037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 981171 (OH)
- Practice address
- 2775 State Route 39
Shelby, OH 44875-9466 - Phone
- (419) 747-3322
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981171 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Abraxas Group, LLC | Past | Accepting new patients | |
| Cornell Abraxas Group, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 981171 | OH | Yes |
Addresses
Primary practice location
2775 State Route 39
Shelby, OH 44875-9466
Mailing address
2775 State Route 39
Shelby, OH 44875-9466
Other providers in Shelby, OH
- 100 Rogers Operating LLC
- James A Addo
- Barbra Ann Adkins
- Leann Adkins
- Leigh Ann Adkins
- Advantage Family Outreach & Foster Care
- Advantage Family Outreach & Foster Care
- Ajay Chawla
- Ajay Chawla MD LLC
- Josh Alamanteoff
All providers in Shelby, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.