Individual provider · Type 1 NPI
Letitia Elizabeth Maddock, LVN
Mental Health Counselor · San Diego, CA
NPI number
1336337377
Active
Practice location
1260 Morena Blvd
San Diego, CA 92110-3889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1336337377
Letitia Elizabeth Maddock, LVN's National Provider Identifier is 1336337377, issued on Oct 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 3, 2007.