Individual provider · NPI-1

Ina Ruth Adams

Counselor, Mental Health · Daytona Beach, FL

NPI number1407569353
StatusActive
Last updated in NPPESJan 5, 2023

Details

NPI
1407569353
Entity type
Individual (NPI-1)
Name
Ina Ruth Adams
Sex
Female
Sole proprietor
No
Enumeration date
Jan 5, 2023
Certification date
Jan 5, 2023
Last updated
Jan 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH21372FLYes

Practice location

1220 Willis Ave
Daytona Beach, FL 32114-2810

Phone 800-539-4228

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Phone 386-236-3225 · Fax 386-236-3178

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