Individual
MARCUS L MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11530 E PERSIMMON AVE, MESA, AZ 85212-1930
(602) 781-8561
Mailing address
11530 E PERSIMMON AVE, MESA, AZ 85212-1930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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