Provider Demographics
NPI:1114263969
Name:HERREID, ADAM ANDERSON (LMHC, LPC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ANDERSON
Last Name:HERREID
Suffix:
Gender:M
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 BOZARTH AVE UNIT 175
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98674-0807
Mailing Address - Country:US
Mailing Address - Phone:360-281-6799
Mailing Address - Fax:
Practice Address - Street 1:131 DAVIDSON AVE STE BB
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-9493
Practice Address - Country:US
Practice Address - Phone:503-380-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60524309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health