Provider Demographics
NPI:1831202571
Name:COHEN, ADAM E (MSW)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:E
Last Name:COHEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 PLATT RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1800
Mailing Address - Country:US
Mailing Address - Phone:734-945-6850
Mailing Address - Fax:734-929-4913
Practice Address - Street 1:333 MAYNARD ST
Practice Address - Street 2:SUITE 402
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2293
Practice Address - Country:US
Practice Address - Phone:734-945-6850
Practice Address - Fax:734-929-4913
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801067944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health