Provider Demographics
NPI:1043428261
Name:MINTON, ADELE F (MCAT, LPC, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:ADELE
Middle Name:F
Last Name:MINTON
Suffix:
Gender:F
Credentials:MCAT, LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1423
Mailing Address - Country:US
Mailing Address - Phone:215-860-8669
Mailing Address - Fax:
Practice Address - Street 1:44 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1423
Practice Address - Country:US
Practice Address - Phone:215-860-8669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional