Individual
MADISON PAPPOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCAT
Contact information
Practice address
1304 E MAIN ST # 100, VENTURA, CA 93001-3202
(805) 941-3656
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/08/2021
Last updated
09/11/2024
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