Provider Demographics
NPI:1679738173
Name:ADAMS, VICKI (LMHC)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RC
Mailing Address - Street 1:P.O. BOX 392
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98073
Mailing Address - Country:US
Mailing Address - Phone:425-880-4333
Mailing Address - Fax:425-329-4559
Practice Address - Street 1:3639 E AMES LAKE LANE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-9104
Practice Address - Country:US
Practice Address - Phone:425-880-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00048470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health