Provider Demographics
NPI:1033654306
Name:ADAMS, JOSEPH B JR (LPC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:B
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5404
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30154-0007
Mailing Address - Country:US
Mailing Address - Phone:404-539-6473
Mailing Address - Fax:
Practice Address - Street 1:107 ENTERPRISE PATH
Practice Address - Street 2:SUITE 305
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2689
Practice Address - Country:US
Practice Address - Phone:404-539-6473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008970101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional