Individual provider · Type 1 NPI

Enricka Victoria Maddox, LPC

Professional Counselor · Conyers, GA

NPI number 1073281804 Active

Practice location

1500 Klondike Rd SW Ste A103
Conyers, GA 30094-5115

Call (770) 609-1936 Map

Mailing address

45 Tabor Trce
Oxford, GA 30054-4049

Other practice locations

  • 45 Tabor Trce, Oxford, GA 30054-4049 · (404) 453-3680

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008094 (GA)

Professional Counselor: Definition to come...

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About NPI 1073281804

Enricka Victoria Maddox, LPC's National Provider Identifier is 1073281804, issued on Sep 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conyers, GA. The record was last updated on Sep 7, 2021.