Provider Demographics
NPI:1578669230
Name:MCADAMS, JANICE ERLINE (MED LPC)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ERLINE
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 E MILAM ST STE B
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-4116
Mailing Address - Country:US
Mailing Address - Phone:409-383-1300
Mailing Address - Fax:409-384-4140
Practice Address - Street 1:342 E MILAM ST STE B
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-4116
Practice Address - Country:US
Practice Address - Phone:409-383-1300
Practice Address - Fax:409-383-1300
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14427101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0276230-01Medicaid