NPI 1922647213 · live from the CMS NPI Registry
Derald Nick Adams, Ed.S
Counselor, Professional in Aiken, SC. National Provider Identifier 1922647213, active.
NPI record
| NPI | 1922647213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1135 Gregg Hwy Nw, Aiken, SC 29801 |
| Practice phone | 803-641-7700 |
| Mailing address | 458 Old Cherokee Rd Ste 203, Lexington, SC 29072 |
| Enumerated | January 3, 2020 |
| Last updated | June 25, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 7249 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.