Provider Demographics
NPI:1033758941
Name:NEBEKER-ADAMS, CARA
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:NEBEKER-ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 E MTN. VILLAGE DRIVE
Mailing Address - Street 2:STE B PMB 797
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7881
Mailing Address - Country:US
Mailing Address - Phone:907-671-6871
Mailing Address - Fax:
Practice Address - Street 1:780 S SNODGRASS DR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9149
Practice Address - Country:US
Practice Address - Phone:907-671-6871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK617106H00000X
AK167681106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist