Individual
WILLIAM BRAD MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
200 E MAIN ST, CLARKSVILLE, AR 72830-3724
(479) 705-1634
(479) 705-1635
Mailing address
200 E MAIN ST, CLARKSVILLE, AR 72830-3724
(479) 705-1634
(479) 705-1635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1909134
AR
101YM0800X
Mental Health Counselor
Primary
P2111008
AR
Other
Enumeration date
04/28/2010
Last updated
12/06/2021
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