Adam Blake Mccloud, LPC-MHSP Valid NPI

Individual provider · Mental Health Counselor · Johnson City, TN

NPI

1265083125

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

4653 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-09-23

Last updated

2020-08-27