Individual
JENNIFER ELLEN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5023 RED OAK DR, OXFORD, AL 36203-3350
(256) 473-4030
Mailing address
5023 RED OAK DR, OXFORD, AL 36203-3350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4134
AL
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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