Provider Demographics
NPI:1629170261
Name:ADAMS, JAMES WELLMAN (MFT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WELLMAN
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 3RD ST STE 600
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-6925
Mailing Address - Country:US
Mailing Address - Phone:916-205-8098
Mailing Address - Fax:916-647-0142
Practice Address - Street 1:1990 3RD ST STE 600
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6925
Practice Address - Country:US
Practice Address - Phone:916-205-8098
Practice Address - Fax:916-647-0142
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40499101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health