Healthcare Provider Details

I. General information

NPI: 1104746619
Provider Name (Legal Business Name): KATHRYN ELLEN ADAMS MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E SARNIA ST
WINONA MN
55987-6365
US

IV. Provider business mailing address

W2276 COUNTY ROAD D
NELSON WI
54756-8319
US

V. Phone/Fax

Practice location:
  • Phone: 651-454-4341
  • Fax:
Mailing address:
  • Phone: 715-279-7981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5726
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: