Healthcare Provider Details
I. General information
NPI: 1518334614
Provider Name (Legal Business Name): ALLISON EMILY ADAMS AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/25/2015
Last Update Date: 08/04/2025
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1229 BROADWAY
RICHVALE CA
95974
US
IV. Provider business mailing address
350 MAIN ST
QUINCY CA
95971
US
V. Phone/Fax
- Phone: 350-283-3330
- Fax: 530-231-0265
- Phone: 530-283-3330
- Fax: 530-822-4127
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | AMFT122059 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: