Individual
MARY J ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LAT
Contact information
Practice address
721 E LINCOLNWAY, CHEYENNE, WY 82001-4703
(307) 220-0485
(307) 638-2104
Mailing address
721 EAST LINCOLNWAY, CHEYENNE, WY 82001-4703
(307) 220-0485
(307) 638-2104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
252
WY
106H00000X
Marriage & Family Therapist
Primary
076
WY
Other
Enumeration date
08/08/2007
Last updated
12/01/2011
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