Provider Demographics
NPI:1679200711
Name:BROWN, ADAM MICHAEL (CADC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:MICHAEL
Last Name:BROWN
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 S MEBANE ST STE A-B
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6385
Mailing Address - Country:US
Mailing Address - Phone:336-223-0444
Mailing Address - Fax:336-223-0449
Practice Address - Street 1:2505 S MEBANE ST STE A-B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6385
Practice Address - Country:US
Practice Address - Phone:336-223-0444
Practice Address - Fax:336-223-0449
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-14848101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)