Individual provider · Type 1 NPI

Jeanetta Rena Maddox, M.S.W.

Mental Health Counselor · Athens, AL

NPI number 1104098987 Active

Practice location

1307 E Elm St
Athens, AL 35611-5318

Call (256) 232-3661 Map

Fax (256) 355-6092

Mailing address

1316 Somerville Rd SE Ste 1
Decatur, AL 35601-4309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104098987

Jeanetta Rena Maddox, M.S.W.'s National Provider Identifier is 1104098987, issued on Apr 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Athens, AL. The record was last updated on Jul 16, 2019.