Individual
MS. MADONNA MARIE MARABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S, NCC, LICDC
Contact information
Practice address
120 W 2ND ST STE 425, DAYTON, OH 45402-1623
(937) 241-6119
Mailing address
5145 DAYTON LIBERTY RD, DAYTON, OH 45417-5949
(937) 241-6119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
081070
OH
101YP2500X
Professional Counselor
Primary
E0004397
OH
Other
Enumeration date
12/11/2008
Last updated
05/14/2010
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