person
Quenisha Maddox
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1912421884

Quenisha Maddox is an Addiction (Substance Use Disorder) Counselor based in Santa Monica, CA and is specialized in Addiction (Substance Use Disorder). Quenisha Maddox practices in Santa Monica, CA. The NPI Number for Quenisha Maddox is 1912421884 and holds a License No. S1404231415 (California).

The current practice location address for Quenisha Maddox is 844 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200. You can also correspond with Quenisha Maddox through the mailing address at 844 PICO BLVD, SANTA MONICA, CA - 90405-1325 (mailing address contact number: 310-314-6200).

Location: 844 Pico Blvd, Santa Monica, CA, 90405-1325
person
Provider Profile Details
NPI Number
1912421884
Provider Name
Quenisha Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
844 Pico Blvd, Santa Monica, CA, 90405-1325
Phone Number
310-314-6200
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
844 Pico Blvd
City
State
Zip
90405-1325
Phone Number
310-314-6200
Fax Number
person
Provider Business Mailing Address Details
Address
844 Pico Blvd
City
State
Zip
90405-1325
Phone Number
310-314-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
S1404231415 (California)
Definition
Definition to come...
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