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KATHLEEN ADAMS MSED

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1134434723

Individual Registrant:
 KATHLEEN  ADAMS MSED
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2100 GOSHEN RD  FORT WAYNE, IN 46808-1493 US
Tel: 260-471-3500  Fax: 260-471-4263

Contact information for business:
850 N HARRISON ST ATTN: ANNE LAWSON - HUMAN RESOURCES WARSAW, IN 46580-3163 US
Tel: 574-267-7169  Fax: 574-268-2377

Registration Information:
NPI: 1134434723
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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