Individual provider · Type 1 NPI

Lance Madow

Mental Health Counselor · Atlanta, GA

NPI number 1023797693 Active

Practice location

3495 Piedmont Rd NE, Building 10, Suite 100
Atlanta, GA 30305

Mailing address

245 E Trinity Pl Unit 1423
Decatur, GA 30030-3493

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023797693

Lance Madow's National Provider Identifier is 1023797693, issued on Jul 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jul 12, 2023.