Individual
SUJIN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Mailing address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
11/22/2022
Last updated
11/22/2022
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