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Individual

JANA LEE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
720 14TH AVE., LONGVIEW, WA 98632
(360) 423-0203
(360) 423-5086
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60887266
WA
101YM0800X
Mental Health Counselor
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2101022
WA
Enumeration date
09/28/2017
Last updated
02/05/2019
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