Individual
JERRY M MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED. LPC
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0865
MS
Other
Enumeration date
12/17/2007
Last updated
10/06/2022
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