Provider Demographics
NPI:1063861177
Name:ADAMS, PATRICIA CONLIN (LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CONLIN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 PASTURE BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2947
Mailing Address - Country:US
Mailing Address - Phone:301-279-2294
Mailing Address - Fax:
Practice Address - Street 1:1706 PASTURE BROOK WAY
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2947
Practice Address - Country:US
Practice Address - Phone:240-988-5002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9090101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor