Kim B Adams, CPRS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Nathalie, VA
NPI 1104385723 · NPPES record last updated Mar 13, 2019
Key facts
- NPI
- 1104385723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4067 Beulah Rd
Nathalie, VA 24577-2653 - Phone
- (860) 469-5462
- Fax
- (434) 333-7015
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4067 Beulah Rd
Nathalie, VA 24577-2653
Mailing address
4067 Beulah Rd
Nathalie, VA 24577-2653
Phone (860) 469-5462
Other providers in Nathalie, VA
All providers in Nathalie, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2019. 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.