Organization
MADDOX COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MADDOX (THERAPIST)
(847) 254-3458
Entity
Organization
Contact information
Practice address
1609 SHERMAN AVE STE 312, EVANSTON, IL 60201-5013
(847) 254-3458
Mailing address
1609 SHERMAN AVE STE 312, EVANSTON, IL 60201-5013
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001083
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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