Jacoba Adams
Individual provider Active NPI Mental Health Counselor · Redmond, WA
NPI 1568842011 · NPPES record last updated May 30, 2015
Key facts
- NPI
- 1568842011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60412334 (WA)
- Practice address
- 8299 161St Ave NE
Suite 103
Redmond, WA 98052-3860 - Phone
- (425) 404-2422
- NPI assigned
- May 30, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60412334 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60412334 | WA | Yes |
Addresses
Primary practice location
8299 161St Ave NE
Suite 103
Redmond, WA 98052-3860
Mailing address
8299 161St Ave NE
Suite 103
Redmond, WA 98052-3860
Phone (425) 404-2422
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All providers in Redmond, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 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.