Individual provider · Type 1 NPI
Jennifer Ellen Maddox, LPC
Mental Health Counselor · Oxford, AL
NPI number
1104562347
Active
Practice location
5023 Red Oak Dr
Oxford, AL 36203-3350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 4134 (AL) |
Mental Health Counselor: Definition to come...
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About NPI 1104562347
Jennifer Ellen Maddox, LPC's National Provider Identifier is 1104562347, issued on May 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oxford, AL. The record was last updated on May 10, 2022.