Individual
MADISON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 HUNTSVILLE QUALITY RD, MORGANTOWN, KY 42261-7395
(270) 934-2024
Mailing address
10858 RUSSELLVILLE RD, ROCKFIELD, KY 42274-9765
(270) 784-4943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/18/2022
Last updated
07/18/2022
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