Provider Demographics
NPI:1124211784
Name:ADAMS, JOHN STOCKTON (MFT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:STOCKTON
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24745 SUMMIT FIELD RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-9414
Mailing Address - Country:US
Mailing Address - Phone:831-625-9382
Mailing Address - Fax:831-625-9382
Practice Address - Street 1:24745 SUMMIT FIELD RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-9414
Practice Address - Country:US
Practice Address - Phone:831-625-9382
Practice Address - Fax:831-625-9382
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25285106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC25285OtherMARRIAGE AND FAMILY THERA