Individual
MRS. CYNTHIA GAYLE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1080
LA
101YP2500X
Professional Counselor
Primary
4992
LA
Other
Enumeration date
08/23/2006
Last updated
12/09/2021
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