# MADDIE ANN WALTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629407911
- **Gender:** F
- **Credential:** LPCC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 274636 | KY | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADC.00000128 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.130897 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCDCIII.161165 | OH | — |
| 101YM0800X | Mental Health Counselor | 292469 | KY | Yes |
| 101YM0800X | Mental Health Counselor | C.2304729-TRNE | OH | — |
| 101YM0800X | Mental Health Counselor | C.2406163 | OH | — |

## Other

- **Enumeration date:** 11/06/2013
- **Last updated:** 10/25/2024