Provider Information for 1013732627
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SHANIECE ADAMS LPC
Sex: Female
NPI: 1013732627
Last Updated: 2024-11-19
Certification Date: 2024-11-19
Certification Date: 2024-11-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013732627 | ||||||||
| Enumeration Date | 2024-11-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11202 FOREST RAIN LIVE OAK, TX 78233-7214 United States Phone: 210-478-9850 | Fax: | ||||||||
| Primary Practice Address | 11202 FOREST RAIN LIVE OAK, TX 78233-7214 United States Phone: 210-478-9850 | Fax: | ||||||||
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