Christina Adams
Individual provider Active NPI Counselor · Rockford, IL
NPI 1114403680 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1114403680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 8616 Northern Ave
Rockford, IL 61107-5309 - Phone
- (815) 332-8003
- NPI assigned
- Jul 17, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
8616 Northern Ave
Rockford, IL 61107-5309
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. 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.