Provider Demographics
NPI:1891360475
Name:ADKINS, JOSHUA (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:ADKINS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:INKOM
Mailing Address - State:ID
Mailing Address - Zip Code:83245-0482
Mailing Address - Country:US
Mailing Address - Phone:208-240-3338
Mailing Address - Fax:
Practice Address - Street 1:151 N 3RD AVE # 400
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-6331
Practice Address - Country:US
Practice Address - Phone:208-840-1992
Practice Address - Fax:208-550-3462
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
8122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health