Individual
JAMES EDWARD ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
8495 CRATER LAKE HWY, VA SORCC - SATP 116C, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3509
Mailing address
6387 FOLEY LN, CENTRAL POINT, OR 97502-9606
(541) 951-2595
(541) 830-3509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97-R-14
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97-R-14
CADC II
OR
Enumeration date
05/12/2006
Last updated
07/08/2007
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