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Dara Maddox
Addiction (Substance Use Disorder) Counselor in Melbourne, Florida
NPI 1891303327

Dara Maddox is an Addiction (Substance Use Disorder) Counselor based in Melbourne, FL and is specialized in Addiction (Substance Use Disorder). Dara Maddox practices in Melbourne, FL. The NPI Number for Dara Maddox is 1891303327 and holds a License No. (Florida).

The current practice location address for Dara Maddox is 1506 Seabreeze Ln, Melbourne, FL and can be reached out via phone at 321-208-3986.

Location: 1506 Seabreeze Ln, Melbourne, FL, 32935-2030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891303327
Provider Name
Dara Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
1506 Seabreeze Ln, Melbourne, FL, 32935-2030
Phone Number
321-208-3986
Fax Number
Provider Enumeration Date
07/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ADC-004887-2014 01 FL FLORIDA CERTIFICATION BOARD
institution
Provider Business Practice Location Address Details
Address
1506 Seabreeze Ln
City
Melbourne
State
Florida
Zip
32935-2030
Phone Number
321-208-3986
Fax Number
person
Provider Business Mailing Address Details
Address
1506 Seabreeze Ln
City
Melbourne
State
Florida
Zip
32935-2030
Phone Number
321-208-3986
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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