person
Susie Marie Madison, LPC
Professional Counselor in Richardson, Texas
NPI 1104599356

Susie Marie Madison is a Professional Counselor based in Tigard, TX and is specialized in Professional. Susie Marie Madison practices in Richardson, TX and has the professional credentials of LPC. The NPI Number for Susie Marie Madison is 1104599356 and holds a License No. 77785 (Texas).

The current practice location address for Susie Marie Madison is 1136 N Cottonwood Dr, Richardson, TX and can be reached out via phone at 972-730-6444.

Location: 1136 N Cottonwood Dr, Richardson, TX, 97224-5643
person
Provider Profile Details
NPI Number
1104599356
Provider Name
Susie Marie Madison
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1136 N Cottonwood Dr, Richardson, TX, 97224-5643
Phone Number
972-730-6444
Fax Number
Provider Enumeration Date
07/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1136 N Cottonwood Dr
City
State
Zip
75080-3762
Phone Number
972-730-6444
Fax Number
person
Provider Business Mailing Address Details
Address
1136 N Cottonwood Dr
City
State
Zip
75080-3762
Phone Number
972-730-6444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
77785 (Texas)
Definition
Definition to come...
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