Individual
JONATHAN E. MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHP
Contact information
Practice address
88 FOX ST, SUITE #101, MADAWASKA, ME 04756-1352
(207) 728-6341
(207) 728-7762
Mailing address
88 FOX ST, SUITE #101, MADAWASKA, ME 04756-1352
(207) 728-6341
(207) 728-7762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010276859
—
ME
Enumeration date
04/11/2013
Last updated
04/11/2013
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