person
Gilbert Diallo Madison, SUDCCIII-CS
Addiction (Substance Use Disorder) Counselor in Orange, California
NPI 1003160912

Gilbert Diallo Madison is an Addiction (Substance Use Disorder) Counselor based in Orange, CA and is specialized in Addiction (Substance Use Disorder). Gilbert Diallo Madison practices in Orange, CA and has the professional credentials of SUDCCIII-CS. The NPI Number for Gilbert Diallo Madison is 1003160912 and holds a License No. 6230 (California).

The current practice location address for Gilbert Diallo Madison is 705 W La Veta Ave Ste 208, Orange, CA and can be reached out via phone at 714-532-9295 and via fax at 714-532-9291. You can also correspond with Gilbert Diallo Madison through the mailing address at 705 W LA VETA AVE STE 208, ORANGE, CA - 92868-4448 (mailing address contact number: 714-532-9295).

Location: 705 W La Veta Ave Ste 208, Orange, CA, 92868-4448
person
Provider Profile Details
NPI Number
1003160912
Provider Name
Gilbert Diallo Madison
Credential
SUDCCIII-CS
Provider Entity Type
Individual
Gender
Male
Address
705 W La Veta Ave Ste 208, Orange, CA, 92868-4448
Phone Number
714-532-9295
Fax Number
714-532-9291
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
705 W La Veta Ave Ste 208
City
State
Zip
92868-4448
Phone Number
714-532-9295
Fax Number
714-532-9291
person
Provider Business Mailing Address Details
Address
705 W La Veta Ave Ste 208
City
State
Zip
92868-4448
Phone Number
714-532-9295
Fax Number
714-532-9291
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6230 (California)
Definition
Definition to come...
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