Individual
DR. SANDRA MARIE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2042
WI
103TC0700X
Clinical Psychologist
5093-57
WI
104100000X
Social Worker
2838123
WI
1041C0700X
Clinical Social Worker
Primary
2838
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39681200
—
WI
Enumeration date
10/13/2006
Last updated
08/15/2025
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