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NPI Code Detail

MEDICARE: DISHAWN JOLENE ADAMS MS/LCDC/LPCA

MEDICARE: DISHAWN JOLENE ADAMS MS/LCDC/LPCA
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
1101Y00000XCounselor
2101Y00000XCounselor91644TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245284009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DISHAWN JOLENE ADAMS MS/LCDC/LPCA
Provider Business Mailing Address
First Line : 8180 CLEARVISTA PKWY
Second Line : 230
City : INDIANAPOLIS
State : IN
Zip : 46256-5629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 204
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 713-548-6024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/26/2023

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