Individual
MADISON MARIE WILMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1151 BETHEL RD STE 302, COLUMBUS, OH 43220-2775
(614) 406-0299
Mailing address
3651 BRINELL ST E APT 234, COLUMBUS, OH 43214-3793
(937) 570-7552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2608058
OH
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2022
Last updated
05/22/2026
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