Individual
REBECCA MCLAURIN MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
4937 WILLIAM ARNOLD RD, MEMPHIS, TN 38117-4237
(901) 530-7005
Mailing address
3788 MIMOSA AVE, MEMPHIS, TN 38111-6941
(901) 336-6902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2536
TN
101YM0800X
Mental Health Counselor
6258
WI
101YM0800X
Mental Health Counselor
82094
TX
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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