Provider Demographics
NPI:1922208388
Name:ADAMS, MARTHA G (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BATTERSON PARK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-4502
Mailing Address - Country:US
Mailing Address - Phone:860-308-0278
Mailing Address - Fax:
Practice Address - Street 1:20 BATTERSON PARK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-4502
Practice Address - Country:US
Practice Address - Phone:860-308-0278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CT2375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor