Individual
NICHOLAS MADDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
07/01/2026
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