person
Mrs. Emily Jean Maddox, LPCC#374
Addiction (Substance Use Disorder) Counselor in Arroyo Grande, California
NPI 1629117981

Emily Jean Maddox is an Addiction (Substance Use Disorder) Counselor based in Oceano, CA and is specialized in Addiction (Substance Use Disorder). Emily Jean Maddox practices in Arroyo Grande, CA and has the professional credentials of LPCC#374. The NPI Number for Emily Jean Maddox is 1629117981 and holds a License No. (California).

The current practice location address for Emily Jean Maddox is 107 Nelson St, Arroyo Grande, CA and can be reached out via phone at 805-362-0676. You can also correspond with Emily Jean Maddox through the mailing address at 1359 SCOTT LEE DR, OCEANO, CA - 93445-9155 (mailing address contact number: 559-362-0676).

Location: 107 Nelson St, Arroyo Grande, CA, 93445-9155
person
Provider Profile Details
NPI Number
1629117981
Provider Name
Emily Jean Maddox
Credential
LPCC#374
Provider Entity Type
Individual
Gender
Female
Address
107 Nelson St, Arroyo Grande, CA, 93445-9155
Phone Number
805-362-0676
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669559878 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
107 Nelson St
City
State
Zip
93420-3318
Phone Number
805-362-0676
Fax Number
person
Provider Business Mailing Address Details
Address
1359 Scott Lee Dr
City
State
Zip
93445-9155
Phone Number
559-362-0676
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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