MEDICARE: CHRISTY L ADAMS MA, LMHC

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
1	101YP2500X	Professional Counselor	RC00028564	WA
2	101Y00000X	Counselor	LH60273031	WA
3	101YM0800X	Mental Health Counselor	LH60273031	WA

General Provider Information

NPI Number	:	1558414342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY L ADAMS MA, LMHC

Provider Business Mailing Address
First Line	:	18810 10TH AVE NE
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98155-2211
Country	:	US
Telephone Number	:	206-947-1336
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 NE 97TH ST STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2042
Country	:	US
Telephone Number	:	206-453-5707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	03/14/2016

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