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Cody Maddock
Professional Counselor in Pekin, Illinois
NPI 1699253187

Cody Maddock is a Professional Counselor based in Pekin, IL and is specialized in Professional. Cody Maddock practices in Pekin, IL. The NPI Number for Cody Maddock is 1699253187 and holds a License No. (Illinois).

The current practice location address for Cody Maddock is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5522.

Location: 3248 Vandever Ave, Pekin, IL, 61554-6257
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Provider Profile Details
NPI Number
1699253187
Provider Name
Cody Maddock
Credential
Provider Entity Type
Individual
Gender
Male
Address
3248 Vandever Ave, Pekin, IL, 61554-6257
Phone Number
309-347-5522
Fax Number
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6257
Phone Number
309-347-5522
Fax Number
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6257
Phone Number
309-347-5522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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