| Doctor Name: | VIRGINIA M ADAMS |
| NPI Number: | 1003024431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 39001836A |
| Business Practice Address: | 200 Hoosier Dr Ste E Angola, IN - 467039349 |
| Business Phone Number: | 2606659494 |
| Business Fax Number: | 2607059496 |
| Mailing Address: | 8140 Park State Dr, FORT WAYNE |
| State: | IN |
| Postal Code: | 468156628 |
| Phone Number: | 2607053780 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39001836A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |