Provider Demographics
NPI:1659737963
Name:ADAMS, KATHRYN RACHEL (MED, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:RACHEL
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MED, LPCA
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:RACHEL
Other - Last Name:BRANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1337 HIGHWAY 119 N
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-7952
Mailing Address - Country:US
Mailing Address - Phone:606-403-1041
Mailing Address - Fax:
Practice Address - Street 1:1337 HIGHWAY 119 N
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858-7952
Practice Address - Country:US
Practice Address - Phone:606-403-1041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY288105101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor