Provider Demographics
NPI:1497874408
Name:ADAMS, COLIN (MA)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 RIBBON LN APT R
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6885
Mailing Address - Country:US
Mailing Address - Phone:919-643-5541
Mailing Address - Fax:919-643-5550
Practice Address - Street 1:1000 CORPORATE DR STE 401
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8548
Practice Address - Country:US
Practice Address - Phone:919-643-5541
Practice Address - Fax:919-643-5550
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health