Individual provider · NPI-1

Jamal Adams, MS, LPC

Counselor, Professional · Madison, WI

NPI number1417586017
StatusActive
Last updated in NPPESMay 25, 2022

Details

NPI
1417586017
Entity type
Individual (NPI-1)
Name
Jamal Adams
Credential
MS, LPC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2020
Certification date
May 25, 2022
Last updated
May 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional4594-226WIYes

Practice location

128 E Olin Ave Ste 100
Madison, WI 53713-1467

Phone 608-252-1320 · Fax 608-252-1333

Mailing address

128 E Olin Ave Ste 100
Madison, WI 53713-1467

Phone 608-252-1320 · Fax 608-252-1333

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