Individual provider · Type 1 NPI

Cody Maddock

Professional Counselor · Pekin, IL

NPI number 1699253187 Active

Practice location

3248 Vandever Ave
Pekin, IL 61554-6257

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1699253187

Cody Maddock's National Provider Identifier is 1699253187, issued on Aug 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pekin, IL. The record was last updated on Aug 6, 2018.