Individual
PAMELLA R MADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
16 SW 5TH ST, RICHMOND, IN 47374-4101
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001159A
IN
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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