Provider Demographics
NPI:1568294247
Name:ADAMS, KATHRYN J (LPC-ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SCENIC DR STE 140A
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7719
Mailing Address - Country:US
Mailing Address - Phone:254-410-4170
Mailing Address - Fax:
Practice Address - Street 1:2100 SCENIC DR STE 140A
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7719
Practice Address - Country:US
Practice Address - Phone:512-713-9886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health