Individual
JANICE L MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
305 STEWART ST, RENO, NV 89502-1606
(775) 384-2442
(775) 473-7164
Mailing address
240 S HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC01558-L
NV
106H00000X
Marriage & Family Therapist
Primary
0913
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100533699
—
NV
Enumeration date
06/06/2011
Last updated
02/08/2022
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