Individual
MR. GEORGE MADDOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NBCC
Contact information
Practice address
8752 QUARTERS LAKE RD, BLDG 9, BATON ROUGE, LA 70809-7306
(225) 922-9122
(225) 922-9125
Mailing address
8752 QUARTERS LAKE RD, BLDG 9, BATON ROUGE, LA 70809-7306
(225) 922-9122
(225) 922-9125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13971463
CAQH
LA
Enumeration date
07/02/2015
Last updated
03/02/2017
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