person
Enricka Victoria Maddox, LPC
Professional Counselor in Conyers, Georgia
NPI 1073281804

Enricka Victoria Maddox is a Professional Counselor based in Oxford, GA and is specialized in Professional. Enricka Victoria Maddox practices in Conyers, GA and has the professional credentials of LPC. The NPI Number for Enricka Victoria Maddox is 1073281804 and holds a License No. LPC008094 (Georgia).

The current practice location address for Enricka Victoria Maddox is 1500 Klondike Rd Sw Ste A103, Conyers, GA and can be reached out via phone at 770-609-1936.

Location: 1500 Klondike Rd Sw Ste A103, Conyers, GA, 30054-4049
person
Provider Profile Details
NPI Number
1073281804
Provider Name
Enricka Victoria Maddox
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1500 Klondike Rd Sw Ste A103, Conyers, GA, 30054-4049
Phone Number
770-609-1936
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Klondike Rd Sw Ste A103
City
State
Zip
30094-5115
Phone Number
770-609-1936
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Klondike Rd Sw Ste A103
City
State
Zip
30094-5115
Phone Number
770-609-1936
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC008094 (Georgia)
Definition
Definition to come...
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