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NPI Code Detail

MEDICARE: MRS. KRISTIN DEAN ADAMS MHP

MEDICARE:  MRS. KRISTIN DEAN ADAMS  MHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1225495864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN DEAN ADAMS MHP
Provider Business Mailing Address
First Line : 2900 ORANGEWOOD DR
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-2682
Country : US
Telephone Number : 337-207-3363
Fax Number :
Provider Business Practice Location Address
First Line : 222 RUE DE JEAN
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3388
Country : US
Telephone Number : 337-456-7880
Fax Number : 337-456-7886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2016
Last Update Date : 02/06/2024

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