Individual provider · Type 1 NPI

Donald Maddox

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1871842385 Active

Practice location

1020 Iowa Ave Ste B
Riverside, CA 92507-2105

Mailing address

916 N Mountain Ave Ste A
Upland, CA 91786-3658

Other practice locations

  • Riverside Day Reporting Center, 1020 Iowa Ave Ste B, Riverside, CA 92507-2105 · (951) 358-4493

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XC3341214 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871842385

Donald Maddox's National Provider Identifier is 1871842385, issued on Aug 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Apr 11, 2024.