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NPI Code Detail

MEDICARE: MADISON FRENCH CDCA, CMA

MEDICARE: MADISON FRENCH CDCA, CMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1598223133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON FRENCH CDCA, CMA
Provider Business Mailing Address
First Line : 5825 WESTBOURNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 614-592-2090
Fax Number :
Provider Business Practice Location Address
First Line : 5825 WESTBOURNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 614-592-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2019
Last Update Date : 03/02/2019

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