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Individual

CHRISTOPHER MICHAEL MADDOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, PSYD

Contact information

Practice address
3959 ELECTRIC RD, ROANOKE, VA 24018-4562
(540) 339-7674
Mailing address
16 OLD WHITMORE AVE SE APT 521, ROANOKE, VA 24016-1237
(443) 802-0786

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
05/04/2022
Last updated
08/19/2025
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