Basic Information
| Provider Information | |||||||||
| NPI: | 1134238033 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADAMS-MITCHELL | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3331 POWER INN RD STE 170 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958263889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168759890 | ||||||||
| FaxNumber: | 9168759970 | ||||||||
| Practice Location | |||||||||
| Address1: | 3331 POWER INN RD STE 170 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958263889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168759890 | ||||||||
| FaxNumber: | 9168759970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 07/07/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFC39515 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.