Individual
ABIGAIL JOLEE MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 HWY 138, CRESTLINE, CA 92325-9232
(909) 336-3330
Mailing address
PO BOX 6300, CRESTLINE, CA 92325-6300
(909) 336-3330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
03/02/2023
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