Provider Demographics
NPI:1851576532
Name:ADAMSSON, NIKOLAS BJORN (JD, PHD, M(AD), MC/M)
Entity Type:Individual
Prefix:DR
First Name:NIKOLAS
Middle Name:BJORN
Last Name:ADAMSSON
Suffix:
Gender:M
Credentials:JD, PHD, M(AD), MC/M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3739 NOTRE DAME AVENUE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:94348
Mailing Address - Country:US
Mailing Address - Phone:209-918-3759
Mailing Address - Fax:209-521-0566
Practice Address - Street 1:10350 SOUTH MCKINLEY AVENUE
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231
Practice Address - Country:US
Practice Address - Phone:209-323-4426
Practice Address - Fax:209-323-4728
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARAS A0605161338101YA0400X
CAIMF48761106H00000X
CAMFC51258106H00000X
CAA0605161338101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)