person
Deanna J Madison, LPC,LPA
Professional Counselor in Fayetteville, North Carolina
NPI 1174502348

Deanna J Madison is a Professional Counselor based in Fayetteville, NC and is specialized in Professional. Deanna J Madison practices in Fayetteville, NC and has the professional credentials of LPC,LPA. The NPI Number for Deanna J Madison is 1174502348 and holds a License No. 3207 (North Carolina).

The current practice location address for Deanna J Madison is 103 Fountainhead Ln, Fayetteville, NC and can be reached out via phone at 910-483-3373 and via fax at 910-426-3921. You can also correspond with Deanna J Madison through the mailing address at PO BOX 58362, FAYETTEVILLE, NC - 28305-8362 (mailing address contact number: 910-483-3373).

Location: 103 Fountainhead Ln, Fayetteville, NC, 28305-8362
person
Provider Profile Details
NPI Number
1174502348
Provider Name
Deanna J Madison
Credential
LPC,LPA
Provider Entity Type
Individual
Gender
Female
Address
103 Fountainhead Ln, Fayetteville, NC, 28305-8362
Phone Number
910-483-3373
Fax Number
910-426-3921
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130RK 01 NC BLUE CROSS BLUE SHIELD
196506 01 NC COMPSYCH
6107085 05 NC
institution
Provider Business Practice Location Address Details
Address
103 Fountainhead Ln
City
State
Zip
28301-5462
Phone Number
910-483-3373
Fax Number
910-426-3921
person
Provider Business Mailing Address Details
Address
103 Fountainhead Ln
City
State
Zip
28301-5462
Phone Number
910-483-3373
Fax Number
910-426-3921
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3207 (North Carolina)
Definition
Definition to come...
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