Provider Demographics
NPI:1801568167
Name:ADAMS, SARA (MS)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:MILAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1601 W 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-3669
Mailing Address - Country:US
Mailing Address - Phone:509-492-6847
Mailing Address - Fax:
Practice Address - Street 1:1601 W 25TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-3669
Practice Address - Country:US
Practice Address - Phone:509-492-6847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool