Individual provider · Type 1 NPI

Theresa Madison, PhD

Mental Health Counselor · Orlando, FL

NPI number 1154620656 Active

Practice location

4808 Manduria St
Orlando, FL 32819-8428

Call (407) 970-2329 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154620656

Theresa Madison, PhD's National Provider Identifier is 1154620656, issued on Mar 23, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Mar 23, 2011.