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Mrs. Katrina Nicole Maddox
Mental Health Counselor in Vineland, New Jersey
NPI 1699191346

Katrina Nicole Maddox is a Mental Health Counselor based in Vineland, NJ and is specialized in Mental Health. Katrina Nicole Maddox practices in Vineland, NJ. The NPI Number for Katrina Nicole Maddox is 1699191346 and holds a License No. 20131571309 (New Jersey).

The current practice location address for Katrina Nicole Maddox is 728 S East Ave, Vineland, NJ and can be reached out via phone at 856-305-5936.

Location: 728 S East Ave, Vineland, NJ, 08360-5810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699191346
Provider Name
Katrina Nicole Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
728 S East Ave, Vineland, NJ, 08360-5810
Phone Number
856-305-5936
Fax Number
Provider Enumeration Date
03/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
728 S East Ave
City
Vineland
State
New Jersey
Zip
08360-5810
Phone Number
856-305-5936
Fax Number
person
Provider Business Mailing Address Details
Address
728 S East Ave
City
Vineland
State
New Jersey
Zip
08360-5810
Phone Number
856-305-5936
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
20131571309 (Nevada)
Definition
Definition to come...
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