Provider Demographics
NPI:1760847982
Name:ADAMS, KERRI E (LPC)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6657
Mailing Address - Country:US
Mailing Address - Phone:973-872-9000
Mailing Address - Fax:
Practice Address - Street 1:455 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6657
Practice Address - Country:US
Practice Address - Phone:973-872-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00255000101Y00000X
NJ37PC00626300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor