Individual
MR. CARL H MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCAR
Contact information
Practice address
1044 GILBERT ST, FLINT, MI 48532-3527
(810) 422-9406
(810) 733-7623
Mailing address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
(586) 783-4805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195293
MI
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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