Provider Demographics
NPI:1306603352
Name:ADAMS, MONCIA RAE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MONCIA
Middle Name:RAE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6251
Mailing Address - Country:US
Mailing Address - Phone:724-518-2085
Mailing Address - Fax:
Practice Address - Street 1:51 W HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1343
Practice Address - Country:US
Practice Address - Phone:724-627-0922
Practice Address - Fax:724-627-0940
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016867101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional