Healthcare Provider Details

I. General information

NPI: 1578053682
Provider Name (Legal Business Name): ADAM FRANCIS PH.D., LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 25 RD STE 101
GRAND JUNCTION CO
81505-1360
US

IV. Provider business mailing address

561 25 RD STE 101
GRAND JUNCTION CO
81505-1360
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-4156
  • Fax: 970-245-7623
Mailing address:
  • Phone: 970-245-4156
  • Fax: 970-245-7623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberASW92180
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928142
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: