Individual provider · Type 1 NPI

Marquita Leonna Renee Madison

Counselor · Johnson City, TN

NPI number 1093152803 Active

Practice location

208 Quary Rd
Johnson City, TN 37601-7580

Call (423) 232-7234 Map

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3 other providers at this address

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About NPI 1093152803

Marquita Leonna Renee Madison's National Provider Identifier is 1093152803, issued on Jun 3, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 3, 2013.