Adam Ryan Maxwell

NPI #1558084327 in Kelso, Washington

Provider Information

NPI Number: 1558084327
Entity Type: Individual
Name: Adam Ryan Maxwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 26, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 305 S PACIFIC AVE
Address 2: SUITE 102
City: Kelso
State: Washington
ZIP Code: 98626
Phone: (360) 423-0203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Counselor	101Y00000X

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