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Mr. Kuumba Madison, LPT,RADTII
Addiction (Substance Use Disorder) Counselor in Walnut Creek, California
NPI 1265001861

Kuumba Madison is an Addiction (Substance Use Disorder) Counselor based in San Ramon, CA and is specialized in Addiction (Substance Use Disorder). Kuumba Madison practices in Walnut Creek, CA and has the professional credentials of LPT,RADTII. The NPI Number for Kuumba Madison is 1265001861 and holds a License No. 32557 (California).

The current practice location address for Kuumba Madison is 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA and can be reached out via phone at 707-208-2051. You can also correspond with Kuumba Madison through the mailing address at 5047 IVYLEAF SPRINGS RD, SAN RAMON, CA - 94582-6018 (mailing address contact number: 707-208-2051).

Location: 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA, 94582-6018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265001861
Provider Name
Kuumba Madison
Credential
LPT,RADTII
Provider Entity Type
Individual
Gender
Male
Address
1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA, 94582-6018
Phone Number
707-208-2051
Fax Number
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1776 Ygnacio Valley Rd Ste 206
City
Walnut Creek
State
California
Zip
94598-3125
Phone Number
707-208-2051
Fax Number
person
Provider Business Mailing Address Details
Address
1776 Ygnacio Valley Rd Ste 206
City
Walnut Creek
State
California
Zip
94598-3125
Phone Number
707-208-2051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14121 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
32557 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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