Doctor Name: | SONJI NICOLE ADAMS |
NPI Number: | 1043525355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1003 |
Business Practice Address: | 226 Medical Plaza Ln Whitesburg, KY - 418587425 |
Business Phone Number: | 6066334871 |
Business Fax Number: | 6066330883 |
Mailing Address: | Po Box 40, WHITESBURG |
State: | KY |
Postal Code: | 418580040 |
Phone Number: | 6066334823 |
Fax Number: | 6066331874 |
NPI Enumeration Date: | 08/11/2010 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |