Individual
JACQUELINE MARIE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(678) 494-5700
Mailing address
4613 MARS CT NW, ACWORTH, GA 30101-3991
(704) 771-2118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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