| Doctor Name: | MR. BENJAMIN WILLIAM ADAMS |
| NPI Number: | 1023487196 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | MC60555798 |
| Business Practice Address: | 406 Main St Suite 111 Edmonds, WA - 980203166 |
| Business Phone Number: | 2065520562 |
| Business Fax Number: | |
| Mailing Address: | 406 Main St, Suite 111 EDMONDS |
| State: | WA |
| Postal Code: | 980203166 |
| Phone Number: | 2065520562 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC60555798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |