Provider Demographics
NPI:1215399985
Name:ADAMI, JENNIFER
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ADAMI
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 1:309 LENNON LN
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2491
Mailing Address - Country:US
Mailing Address - Phone:925-210-9370
Mailing Address - Fax:925-210-0436
Practice Address - Street 1:309 LENNON LN
Practice Address - Street 2:SUITE 104
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2491
Practice Address - Country:US
Practice Address - Phone:925-210-9370
Practice Address - Fax:925-210-0436
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst