Provider Demographics
NPI:1831560226
Name:GARRETT, ADAM CHARLES (LMHCA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:CHARLES
Last Name:GARRETT
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 NE 34TH ST APT H
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-6491
Mailing Address - Country:US
Mailing Address - Phone:360-207-1544
Mailing Address - Fax:
Practice Address - Street 1:7700 NE PARKWAY DR STE 130
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6648
Practice Address - Country:US
Practice Address - Phone:360-207-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
WALH61261181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No372600000XNursing Service Related ProvidersAdult Companion