Individual
JASON AC MADEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHW
Contact information
Practice address
592 RIO LINDO AVENUE, CHICO, CA 95926
(530) 891-2775
(530) 895-6547
Mailing address
8030 SKYWAY, PARADISE, CA 95969
(530) 877-1108
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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