person
Lisa Jeanne Maddox
Professional Counselor in Jacksonville, Florida
NPI 1013632116

Lisa Jeanne Maddox is a Professional Counselor based in Atlanta, FL and is specialized in Professional. Lisa Jeanne Maddox practices in Jacksonville, FL. The NPI Number for Lisa Jeanne Maddox is 1013632116 and holds a License No. (Florida).

The current practice location address for Lisa Jeanne Maddox is 4243 Sunbeam Rd Ste 1, Jacksonville, FL and can be reached out via phone at 855-284-7483 and via fax at 617-807-0958.

Location: 4243 Sunbeam Rd Ste 1, Jacksonville, FL, 30374-8465
person
Provider Profile Details
NPI Number
1013632116
Provider Name
Lisa Jeanne Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
4243 Sunbeam Rd Ste 1, Jacksonville, FL, 30374-8465
Phone Number
855-284-7483
Fax Number
617-807-0958
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4243 Sunbeam Rd Ste 1
City
State
Zip
32257-8975
Phone Number
855-284-7483
Fax Number
617-807-0958
person
Provider Business Mailing Address Details
Address
4243 Sunbeam Rd Ste 1
City
State
Zip
32257-8975
Phone Number
855-284-7483
Fax Number
617-807-0958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH22914 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Florida)
Definition
Definition to come...
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