person
Benjamin Maddock
Mental Health Counselor in Bloomington, Indiana
NPI 1821796368

Benjamin Maddock is a Mental Health Counselor based in Bloomington, IN and is specialized in Mental Health. Benjamin Maddock practices in Bloomington, IN. The NPI Number for Benjamin Maddock is 1821796368 and holds a License No. (Indiana).

The current practice location address for Benjamin Maddock is 1117 N Jackson St, Bloomington, IN and can be reached out via phone at 812-322-2817.

Location: 1117 N Jackson St, Bloomington, IN, 47408-2934
person
Provider Profile Details
NPI Number
1821796368
Provider Name
Benjamin Maddock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1117 N Jackson St, Bloomington, IN, 47408-2934
Phone Number
812-322-2817
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1117 N Jackson St
City
State
Zip
47404-3385
Phone Number
812-322-2817
Fax Number
person
Provider Business Mailing Address Details
Address
1117 N Jackson St
City
State
Zip
47404-3385
Phone Number
812-322-2817
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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