Individual provider · Type 1 NPI

Octavia Dianne Madison, ED.D, LPC, LMFT

Professional Counselor · Arlington, VA

NPI number 1316364938 Active

Practice location

2100 Washington Blvd, 4th Floor
Arlington, VA 22204-5703

Call (703) 228-1600 Map

Fax (703) 228-1117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X0701001856 (VA)
Marriage & Family Therapist 106H00000X0717000584 (VA)

Professional Counselor: Definition to come...

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About NPI 1316364938

Octavia Dianne Madison, ED.D, LPC, LMFT's National Provider Identifier is 1316364938, issued on Mar 20, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Arlington, VA. The record was last updated on Mar 20, 2014.