Provider Demographics
NPI:1023492493
Name:ADAMS, TRACY JORDAN (LMHC)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:JORDAN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N 36TH ST STE 321
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8698
Mailing Address - Country:US
Mailing Address - Phone:206-708-2695
Mailing Address - Fax:833-370-0319
Practice Address - Street 1:600 N 36TH ST STE 321
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8698
Practice Address - Country:US
Practice Address - Phone:206-708-2695
Practice Address - Fax:833-370-0319
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60686283101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor