Wellformed AI

NPI 1487290805 · live from the CMS NPI Registry

Breezy Adams, LCPC

Counselor, Professional in Kalispell, MT. National Provider Identifier 1487290805, active.

NPI record

NPI1487290805 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location725 6th Ave E Ste 16, Kalispell, MT 59901
Practice phone406-250-6146
Mailing addressPo Box 2885, Kalispell, MT 59903
EnumeratedNovember 20, 2019
Last updatedJanuary 17, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500XBBH-LCPC-LIC-39618 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.