Gina Lee Adamski, LADC, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Superior, WI
NPI 1770837882 · NPPES record last updated Oct 29, 2012
Key facts
- NPI
- 1770837882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 302972 (MN)
- Practice address
- 1507 Tower Ave Ste 307
Superior, WI 54880-2553 - Phone
- (218) 336-9300
- Fax
- (715) 392-8041
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 302972 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Recovery, Inc. | Past | Accepting new patients | |
| Superior Treatment Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302972 | MN | Yes |
Addresses
Primary practice location
1507 Tower Ave Ste 307
Superior, WI 54880-2553
Mailing address
1507 Tower Ave Ste 307
Superior, WI 54880-2553
Phone (218) 336-9300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302972 | Other | MN | LADC |
Other providers in Superior, WI
- 1915 North 34TH Street Opco LLC
- Kathryn Akright
- Alexa Connolly LLC
- Clayton Lee Allison
- Amana Mobility LLC
- Catherine Mae Amorde
All providers in Superior, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2012. 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.