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Individual

ADELLE RAE MADISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
7105 HERBERT RD, CANFIELD, OH 44406-8660
(330) 533-6848
Mailing address
7740 LYDIA LN, CANFIELD, OH 44406-8405
(330) 507-5642

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0007295
OH

Other

Enumeration date
05/28/2020
Last updated
05/28/2020
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