Provider Demographics
NPI:1720038102
Name:ADAMS, KATHRYN ANN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 THIRD ST. 2ND FLOOR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2026
Mailing Address - Country:US
Mailing Address - Phone:724-728-6039
Mailing Address - Fax:724-728-5009
Practice Address - Street 1:1040 3RD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2026
Practice Address - Country:US
Practice Address - Phone:724-728-6039
Practice Address - Fax:724-728-5009
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 000767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional