Individual
MADDISON STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 WATERLICK RD STE A, FOREST, VA 24551-1696
(434) 435-0693
Mailing address
1104 ROCKBRIDGE AVE UNIT B, LYNCHBURG, VA 24501-5602
(717) 300-0125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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