Individual provider · Type 1 NPI
Madison R. Dave, BS/QMHS
Mental Health Counselor · Burbank, OH
NPI number
1205501707
Active
Practice location
24 North Front Street
Burbank, OH 44214
Mailing address
3095 Kettering Blvd
Moraine, OH 45439-1983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APP-001027850 (OH) |
Mental Health Counselor: Definition to come...
About NPI 1205501707
Madison R. Dave, BS/QMHS's National Provider Identifier is 1205501707, issued on Aug 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burbank, OH. The record was last updated on Aug 18, 2026.