Individual provider · Type 1 NPI

Lisa Jeanne Maddox

Professional Counselor · Jacksonville, FL

NPI number 1013632116 Active

Practice location

4243 Sunbeam Rd Ste 1
Jacksonville, FL 32257-8975

Call (855) 284-7483 Map

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800XMH22914 (FL)
Professional Counselor Primary 101YP2500XMH22914 (FL)

Professional Counselor: Definition to come...

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About NPI 1013632116

Lisa Jeanne Maddox's National Provider Identifier is 1013632116, issued on Oct 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 27, 2023.