Demetrice Adams

Individual provider Active NPI School Counselor · Covington, TN

NPI 1194094458 · NPPES record last updated Dec 15, 2011

Key facts

NPI
1194094458
Entity type
Individual (NPI type 1)
Primary specialty
School Counselor 101YS0200X
Practice address
1997 Highway 51 S
Covington, TN 38019-3630
Phone
(901) 476-8967
Fax
(901) 313-1124
NPI assigned
Dec 15, 2011
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)CodeLicenseStatePrimary
School Counselor 101YS0200X Yes

Addresses

Primary practice location

1997 Highway 51 S
Covington, TN 38019-3630

Mailing address

1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967

Other providers in Covington, TN

All providers in Covington, TN · School Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.