Provider Demographics
NPI:1285836585
Name:ADAMS, JOSEPH W JR (MA-COUNSELING)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:W
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:MA-COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 OLDE TOWNE SQ
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1564
Mailing Address - Country:US
Mailing Address - Phone:219-331-4875
Mailing Address - Fax:
Practice Address - Street 1:824 OLDE TOWNE SQ
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-1564
Practice Address - Country:US
Practice Address - Phone:219-331-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200880Medicare ID - Type Unspecified