Provider Demographics
NPI:1730237868
Name:ADAMS, DAN (LPC-LMFT)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:LPC-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 ROSEDOWN DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-9215
Mailing Address - Country:US
Mailing Address - Phone:361-939-8907
Mailing Address - Fax:361-994-1190
Practice Address - Street 1:5934 S STAPLES ST
Practice Address - Street 2:206
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3842
Practice Address - Country:US
Practice Address - Phone:361-994-0387
Practice Address - Fax:361-994-1190
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC-2652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health