Individual
MADDIE ANN WALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LPC
Contact information
Practice address
71 CAVALIER BLVD STE 313, FLORENCE, KY 41042-5172
(859) 302-9877
Mailing address
71 CAVALIER BLVD STE 313, FLORENCE, KY 41042-5172
(859) 302-9877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
274636
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC.00000128
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.130897
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161165
OH
101YM0800X
Mental Health Counselor
Primary
292469
KY
101YM0800X
Mental Health Counselor
C.2304729-TRNE
OH
101YM0800X
Mental Health Counselor
C.2406163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267502
—
OH
Enumeration date
11/06/2013
Last updated
10/25/2024
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