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Individual
MR. JONATHAN DANIEL MADILL
Active
Individual
MR. JONATHAN DANIEL MADILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
P1601009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1105051
LAC
AR
Enumeration date
04/18/2012
Last updated
10/20/2016
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