person
Antasia Maddox, LLMSW
Mental Health Counselor in Ypsilanti, Michigan
NPI 1659088870

Antasia Maddox is a Mental Health Counselor based in Ypsilanti, MI and is specialized in Mental Health. Antasia Maddox practices in Ypsilanti, MI and has the professional credentials of LLMSW. The NPI Number for Antasia Maddox is 1659088870 and holds a License No. 6851104276 (Michigan).

The current practice location address for Antasia Maddox is 124 Pearl St Ste 503, Ypsilanti, MI and can be reached out via phone at 734-620-1936.

Location: 124 Pearl St Ste 503, Ypsilanti, MI, 48197-2663
person
Provider Profile Details
NPI Number
1659088870
Provider Name
Antasia Maddox
Credential
LLMSW
Provider Entity Type
Individual
Gender
Female
Address
124 Pearl St Ste 503, Ypsilanti, MI, 48197-2663
Phone Number
734-620-1936
Fax Number
Provider Enumeration Date
10/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 Pearl St Ste 503
City
State
Zip
48197-2663
Phone Number
734-620-1936
Fax Number
person
Provider Business Mailing Address Details
Address
124 Pearl St Ste 503
City
State
Zip
48197-2663
Phone Number
734-620-1936
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6851104276 (Michigan)
Definition
Definition to come...
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