Individual provider · Type 1 NPI

Mary Lee Madison

Professional Counselor · Des Moines, IA

NPI number 1780905422 Active

Practice location

1620 Pleasant St Ste 237
Des Moines, IA 50314-1676

Call (515) 244-1716 Map

Fax (515) 221-3519

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1994 (OK)
Professional Counselor 101YP2500X12889 (TX)

Professional Counselor: Definition to come...

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About NPI 1780905422

Mary Lee Madison's National Provider Identifier is 1780905422, issued on Jun 17, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Des Moines, IA. The record was last updated on Apr 21, 2011.