| Doctor Name: | MRS. RENEE WATSON ADAMS |
| NPI Number: | 1104248491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | LPCA10621 |
| Business Practice Address: | 48 Godwin Ln Selma, NC - 275768499 |
| Business Phone Number: | 9196314831 |
| Business Fax Number: | |
| Mailing Address: | 48 Godwin Ln, SELMA |
| State: | NC |
| Postal Code: | 275768499 |
| Phone Number: | 9196314831 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2014 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPCA10621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |