Individual provider · Type 1 NPI

Madison Liddle

Mental Health Counselor · Brooklyn, NY

NPI number 1073129805 Active

Practice location

371 Humboldt St Apt 208
Brooklyn, NY 11211-2988

Call (305) 582-5618 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073129805

Madison Liddle's National Provider Identifier is 1073129805, issued on Sep 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 17, 2020.