MEDICARE: AMBER A ADAMS LMFT

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	106H00000X	Marriage & Family Therapist	MFC47304	CA

General Provider Information

NPI Number	:	1972795524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER A ADAMS LMFT

Provider Business Mailing Address
First Line	:	PO BOX 2124
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-1624
Country	:	US
Telephone Number	:	909-659-4332
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 N GLASSELL ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-6748
Country	:	US
Telephone Number	:	909-659-4332
Fax Number	:

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

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	05/21/2012

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