Individual provider · Type 1 NPI

Susie Marie Madison, LPC

Professional Counselor · Richardson, TX

NPI number 1104599356 Active

Practice location

1136 N Cottonwood Dr
Richardson, TX 75080-3762

Call (972) 730-6444 Map

Mailing address

15755 SW Oakhill Ln
Tigard, OR 97224-5643

Other practice locations

  • 15755 SW Oakhill Ln, Tigard, OR 97224-5643 · (972) 730-6444

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X77785 (TX)
Professional Counselor Primary 101YP2500XC7098 (OR)

Professional Counselor: Definition to come...

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About NPI 1104599356

Susie Marie Madison, LPC's National Provider Identifier is 1104599356, issued on Jul 25, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richardson, TX. The record was last updated on Jan 10, 2024.