Provider Demographics
NPI:1508130352
Name:ADAMS, JANELLE E (MA, LMFT, ATR)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, LMFT, ATR
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:E
Other - Last Name:DUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16821 SE MCGILLIVRAY BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-0401
Mailing Address - Country:US
Mailing Address - Phone:360-718-8544
Mailing Address - Fax:360-718-5342
Practice Address - Street 1:16821 SE MCGILLIVRAY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-0401
Practice Address - Country:US
Practice Address - Phone:360-718-8544
Practice Address - Fax:360-718-5342
Is Sole Proprietor?:No
Enumeration Date:2012-02-25
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60266655106H00000X
WALF60675521106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist