Individual
MR. WILLIAM CHARLES MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CEAP, MS
Contact information
Practice address
802 COLUMBIA ST, LAFAYETTE, IN 47901-1439
(765) 742-0375
(765) 742-1039
Mailing address
PO BOX 5873, LAFAYETTE, IN 47903-5873
(765) 742-0375
(765) 742-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39000233A
IN
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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