Individual
TINA JANE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, BHP
Contact information
Practice address
2717 N 4TH ST STE 23A, FLAGSTAFF, AZ 86004-1847
(928) 606-5306
(928) 527-3119
Mailing address
5775 BUCKBOARD TRL, FLAGSTAFF, AZ 86004-5287
(928) 606-5306
(928) 527-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17130
AZ
Other
Enumeration date
07/04/2018
Last updated
02/07/2023
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