Adams, Tijuana P

Adams, Tijuana P is an sole proprietor health care provider with primary practice located at 3011 S Memorial Dr Ste 5 , Greenville NC 27834-6238. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Adams, Tijuana P can be contacted via phone (252) 364-6007.

Contact Information

Primary practice address
3011 S Memorial Dr Ste 5 Greenville NC 27834-6238
Phone: (252) 364-6007
Fax: (888) 509-1504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8380 North Carolina

Profile Details

NPI number 1376806257
LBN Legal business name Adams, Tijuana P
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2012
Last updated Mar 1st, 2014 - about 10 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 1376806257 NPPES
North Carolina MEDICAID 1376806257

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