DENISE MADDOCK
Counselor - Mental Health
Active
Individual
NPI: 1134287444
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | PROFESSIONALLICENSE () |
Frequently Asked Questions
NPI 1134287444 is the National Provider Identifier for DENISE MADDOCK, a Counselor - Mental Health provider located in Fairview, OR. This NPI was enumerated on December 5, 2006.
DENISE MADDOCK practices at 1945 NE 205TH AVE, Fairview, OR 97024.
Quick Facts
- NPI
- 1134287444
- Type
- Individual
- Enumerated
- Dec 5, 2006
- Last Updated
- Aug 21, 2023
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