Individual provider · Type 1 NPI

Kelliann Maddox

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1265219943 Active

Practice location

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661

Mailing address

270 Providence Blvd
Carmel, IN 46032-4523

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X87000498A (IN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265219943

Kelliann Maddox's National Provider Identifier is 1265219943, issued on Sep 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 14, 2023.