Individual
DR. JACQUELINE JUANITA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN,MA, CAPS, LPC
Contact information
Practice address
5655 KINGSBURY AVE APT 909, SAINT LOUIS, MO 63112-1874
(314) 740-0903
Mailing address
5343 BELLEVILLE CROSSING ST # 2079, BELLEVILLE, IL 62226-3108
(314) 740-0903
(314) 448-1481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
178.012744
IL
101YP1600X
Pastoral Counselor
Primary
—
IL
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
1090
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
01/25/2017
Last updated
05/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us