Individual
MELISSA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
725 WEST DR, DERIDDER, LA 70634-3410
(337) 348-1133
Mailing address
PO BOX 92, ROSEPINE, LA 70659-0092
(337) 348-1133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7233
LA
Other
Enumeration date
06/17/2022
Last updated
05/09/2023
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