Individual provider · NPI-1

John Henry Adams Sr., SAC-IT

Counselor, Addiction (Substance Use Disorder) · Madison, WI

NPI number1780428383
StatusActive
Last updated in NPPESJul 17, 2024

Details

NPI
1780428383
Entity type
Individual (NPI-1)
Name
John Henry Adams Sr.
Credential
SAC-IT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2024
Certification date
Jul 17, 2024
Last updated
Jul 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)19544-130WIYes

Practice location

2901 International Ln Ste 100
Madison, WI 53704-3177

Phone 608-707-2272 · Fax 608-480-8070

Mailing address

2901 International Ln Ste 100
Madison, WI 53704-3177

Phone 608-707-2272 · Fax 608-480-8070

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