Provider Demographics
NPI:1619708492
Name:PIDDINGTON, ADAM SCOTT (LMHCA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:SCOTT
Last Name:PIDDINGTON
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 1:17056 16TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3436
Mailing Address - Country:US
Mailing Address - Phone:858-361-7959
Mailing Address - Fax:
Practice Address - Street 1:2033 6TH AVE STE 826
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2593
Practice Address - Country:US
Practice Address - Phone:858-361-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health