Individual
MADDISON FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
3104 BLUE LAKE DR STE 101, VESTAVIA, AL 35243-2345
(205) 218-3483
(205) 977-3939
Mailing address
3104 BLUE LAKE DR STE 101, VESTAVIA, AL 35243-2345
(205) 218-3483
(205) 977-3939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
A286
AL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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