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Individual

DR. JENNIFER RAE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LPC

Contact information

Practice address
107 STREET CAR WAY, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067
Mailing address
PO BOX 490, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1923
WV

Other

Enumeration date
07/14/2009
Last updated
07/14/2009
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