Individual
MRS. CAROL LYNNE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, CCSR, CA
Contact information
Practice address
215 BATES STREET, JACKSON, MI 49202-3603
(517) 914-2166
(517) 914-3030
Mailing address
215 BATES STREET, JACKSON, MI 49202-3603
(517) 914-2166
(517) 784-3030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACR
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
S-20076
MI
101YP2500X
Professional Counselor
CCSR
MI
104100000X
Social Worker
6803084991
MI
1041C0700X
Clinical Social Worker
Primary
6801090121
MI
171M00000X
Case Manager/Care Coordinator
6801090121
MI
Other
Enumeration date
01/08/2007
Last updated
05/21/2012
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