Individual provider · Type 1 NPI

Madonna Marie Marable, PCC-S, NCC, LICDC

Professional Counselor · Dayton, OH

NPI number 1407091960 Active

Practice location

120 W 2nd St Ste 425
Dayton, OH 45402-1623

Call (937) 241-6119 Map

Mailing address

5145 Dayton Liberty Rd
Dayton, OH 45417-5949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X081070 (OH)
Professional Counselor Primary 101YP2500XE0004397 (OH)

Professional Counselor: Definition to come...

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About NPI 1407091960

Madonna Marie Marable, PCC-S, NCC, LICDC's National Provider Identifier is 1407091960, issued on Dec 11, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dayton, OH. The record was last updated on May 14, 2010.