Individual
JAMIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ADC
Contact information
Practice address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-0333
Mailing address
3260 HANCOCK DR, CHESAPEAKE, VA 23323-1940
(803) 507-2946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD01AK
—
SC
Enumeration date
11/13/2019
Last updated
07/06/2023
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