Provider Demographics
NPI:1578688198
Name:ADKINS, KATHRYN E (EDM, LCPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:ADKINS
Suffix:
Gender:F
Credentials:EDM, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31490 SHAVOX RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1586
Mailing Address - Country:US
Mailing Address - Phone:410-341-6181
Mailing Address - Fax:410-341-4112
Practice Address - Street 1:31490 SHAVOX RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1586
Practice Address - Country:US
Practice Address - Phone:410-341-6181
Practice Address - Fax:410-341-4112
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7598302OtherAETNA
MD60657301OtherCAREFIRST BCBS
MDM3000001OtherBLUE CHOICE
MD299228OtherMAMSI