person
Jeanetta Rena Maddox, MSW
Mental Health Counselor in Athens, Alabama
NPI 1104098987

Jeanetta Rena Maddox is a Mental Health Counselor based in Decatur, AL and is specialized in Mental Health. Jeanetta Rena Maddox practices in Athens, AL and has the professional credentials of MSW. The NPI Number for Jeanetta Rena Maddox is 1104098987 and holds a License No. (Alabama).

The current practice location address for Jeanetta Rena Maddox is 1307 E Elm St, Athens, AL and can be reached out via phone at 256-232-3661 and via fax at 256-355-6092.

Location: 1307 E Elm St, Athens, AL, 35601-4309
person
Provider Profile Details
NPI Number
1104098987
Provider Name
Jeanetta Rena Maddox
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
1307 E Elm St, Athens, AL, 35601-4309
Phone Number
256-232-3661
Fax Number
256-355-6092
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51547790 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1307 E Elm St
City
State
Zip
35611-5318
Phone Number
256-232-3661
Fax Number
256-355-6092
person
Provider Business Mailing Address Details
Address
1307 E Elm St
City
State
Zip
35611-5318
Phone Number
256-232-3661
Fax Number
256-355-6092
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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