Provider Information for 1588058093
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REBECCA ADAMS LPC
Sex: Female
NPI: 1588058093
Last Updated: 2018-07-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1588058093 | ||||||||
| Enumeration Date | 2015-03-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3717 BAINBRIDGE ST ROUND ROCK, TX 78681-2472 United States Phone: 512-585-5551 | Fax: | ||||||||
| Primary Practice Address | 301 N HIGHWAY 183 STE B LEANDER, TX 78641 United States Phone: 978-496-9321 | Fax: | ||||||||
| Secondary Practice Address(es) | 3717 BAINBRIDGE ST | ||||||||
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