Provider Demographics
NPI:1114946100
Name:ADAMS, GEORGE HOWARD (EDD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HOWARD
Last Name:ADAMS
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7844 MADISON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3519
Mailing Address - Country:US
Mailing Address - Phone:916-783-9631
Mailing Address - Fax:916-783-0529
Practice Address - Street 1:7844 MADISON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3519
Practice Address - Country:US
Practice Address - Phone:916-783-9631
Practice Address - Fax:916-783-0529
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC12085101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health