Individual
MR. KEVIN GINARD MADDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS, QMHS
Contact information
Practice address
273 S 3RD ST, COLUMBUS, OH 43215-5133
(614) 653-8585
Mailing address
214 MACANDREWS WAY, BLACKLICK, OH 43004-9336
(614) 626-9977
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005588
OH
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/31/2024
Last updated
03/15/2026
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