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Individual

JAMAL ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4594-226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4594-226
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
01
8541-125
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
04/06/2020
Last updated
05/25/2022
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