Individual
AKIA SHAUAAN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4500
(706) 653-6841
(706) 653-7843
Mailing address
2325 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4500
(706) 653-6841
(706) 653-7843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213855A
—
GA
Enumeration date
01/24/2018
Last updated
07/28/2020
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