Adams, Kathleen M

Adams, Kathleen M is an individual health care provider with primary practice located at 123 16Th Ave S , Onalaska WI 54650-3109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams, Kathleen M can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
123 16Th Ave S Onalaska WI 54650-3109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6530 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13796 Minnesota

Profile Details

NPI number 1285637595
LBN Legal business name Adams, Kathleen M
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285637595 NPPES
Wisconsin MEDICAID 39736900

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