Provider Demographics
NPI:1497385041
Name:ADAMS, EMILY ANNE (LMFT #113891)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMFT #113891
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 1115
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5312
Mailing Address - Country:US
Mailing Address - Phone:410-507-3185
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1115
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5312
Practice Address - Country:US
Practice Address - Phone:410-507-3185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113891106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist