# MADDOX COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306396841
- **Authorized official:** ROBIN MADDOX (THERAPIST)
- **Authorized official phone:** (847) 254-3458

## Contact information

- **Practice address:** 1609 SHERMAN AVE STE 312, EVANSTON, IL 60201-5013
- **Practice address phone:** (847) 254-3458
- **Mailing address:** 1609 SHERMAN AVE STE 312, EVANSTON, IL 60201-5013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.001083 | IL | Yes |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 10/07/2016