Healthcare Provider Details

I. General information

NPI: 1437161106
Provider Name (Legal Business Name): PATRICIA ANN ADAMS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 N 31ST ST
CLINTON OK
73601-9116
US

IV. Provider business mailing address

1018 RANDALL RD
WEATHERFORD OK
73096-3242
US

V. Phone/Fax

Practice location:
  • Phone: 580-323-6021
  • Fax: 580-323-9375
Mailing address:
  • Phone: 580-774-0431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1381
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: