Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301011926 | MI |
NPI | 1053490607 |
---|---|
Provider Name | Mrs. Christina B Adamski |
First Address | Holland, MI 49424-9602 |
Second Address | Holland, MI 49424-9602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 25/09/2017 |