Individual
MISS CHRISTINA DAWN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI, CAODC
Contact information
Practice address
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405-7575
(707) 565-7460
Mailing address
2755 VENTURA AVE APT 5, SANTA ROSA, CA 95403-2238
(707) 695-7790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI26410818
CA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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