Kenneth Adams, MFT
Individual provider Active NPI Marriage & Family Therapist · Benicia, CA
NPI 1194191981 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1194191981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT 23807 (CA)
- Practice address
- 1440 Military W Ste 201E
Benicia, CA 94510-2450 - Phone
- (510) 499-8568
- NPI assigned
- Aug 14, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 23807 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 23807 | CA | Yes |
Addresses
Primary practice location
1440 Military W Ste 201E
Benicia, CA 94510-2450
Mailing address
1440 Military W Ste 201E
Benicia, CA 94510-2450
Phone (510) 499-8568
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All providers in Benicia, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. 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.