Stacey Lynn Adams, BA, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Middleport, OH
NPI 1043722382 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1043722382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 788 N 2ND Ave Ste a
Middleport, OH 45760-1014 - Phone
- (740) 992-3965
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
788 N 2ND Ave Ste a
Middleport, OH 45760-1014
Mailing address
499 Jackson Pike
PO Box 88
Gallipolis, OH 45631-0088
Phone (740) 992-3965
Other providers in Middleport, OH
- Julie M Abbott
- Kelly Gwen Arbaugh
- Michael Ball
- Jesi Bentley
- Juli Kae Borthwick
- Katie Elizabeth Bostic
All providers in Middleport, 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 Oct 26, 2017. 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.