George Howard Adams, ED.D.

Individual provider Active NPI Mental Health Counselor · Fair Oaks, CA

NPI 1114946100 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114946100
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MFC12085 (CA)
Practice address
7844 Madison Ave
Suite 105
Fair Oaks, CA 95628-3519
Phone
(916) 783-9631
Fax
(916) 783-0529
NPI assigned
Jul 19, 2006
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
MFC12085CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC12085 CA Yes

Addresses

Primary practice location

7844 Madison Ave
Suite 105
Fair Oaks, CA 95628-3519

Mailing address

7844 Madison Ave
Suite 105
Fair Oaks, CA 95628-3519
Phone (916) 783-9631

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.