Individual provider · Type 1 NPI

Madison Wall

Professional Counselor · Cincinnati, OH

NPI number 1417592999 Active

Practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Fax (513) 272-2807

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X123456-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1417592999

Madison Wall's National Provider Identifier is 1417592999, issued on Nov 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cincinnati, OH. The record was last updated on Nov 8, 2019.