Doctor Name: | SHIRLEY DAWSON ADAMS |
NPI Number: | 1235413733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | A8558 |
Business Practice Address: | 110 Forest Lakes Rd Louisburg, NC - 275497364 |
Business Phone Number: | 9195207790 |
Business Fax Number: | |
Mailing Address: | 110 Forest Lakes Rd, LOUISBURG |
State: | NC |
Postal Code: | 275497364 |
Phone Number: | 9195207790 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2011 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A8558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |