NPI 1619219920 · live from the CMS NPI Registry
Amy Adams
Counselor, Addiction (Substance Use Disorder) in Ely, NV. National Provider Identifier 1619219920, active.
NPI record
| NPI | 1619219920 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 399 1st St, Ely, NV 89301 |
| Practice phone | 775-289-4905 |
| Mailing address | Po Box 151103, Ely, NV 89315 |
| Enumerated | March 25, 2013 |
| Last updated | March 30, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 0085-I (NV) |
| Rehabilitation Practitioner | 225400000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.