Individual
MADISON STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/18/2019
Last updated
01/10/2022
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