DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. EMILY JEAN MADDOX LPCC #374

MEDICARE: MRS. EMILY JEAN MADDOX LPCC #374
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11669559878OTHERCAMEDICAL

General Provider Information

NPI Number : 1629117981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY JEAN MADDOX LPCC #374
Provider Business Mailing Address
First Line : 1359 SCOTT LEE DR
Second Line :
City : OCEANO
State : CA
Zip : 93445-9155
Country : US
Telephone Number : 559-362-0676
Fax Number :
Provider Business Practice Location Address
First Line : 107 NELSON ST
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-3318
Country : US
Telephone Number : 805-362-0676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 10/23/2018

Similar Medicare Providers

1982687851 — LISA ANNE DAWES RD
Practice Location Address:
107 NELSON ST
ARROYO GRANDE, CA
93420-3318
Practice Phone: 805-316-5113
Practice Fax: 805-270-4534
1861431595 — DR. KENNETH STARR M.D.
Practice Location Address:
107 NELSON ST
ARROYO GRANDE, CA
93420-3318
Practice Phone: 805-242-1360
Practice Fax:
1598195810 — KEN STARR MD WELLNESS GROUP
Practice Location Address:
107 NELSON ST
ARROYO GRANDE, CA
93420-3318
Practice Phone: 626-797-9977
Practice Fax: 626-844-2977
1871048769 — TIKVA TREATMENT
Practice Location Address:
107 NELSON ST
ARROYO GRANDE, CA
93420-3318
Practice Phone: 805-202-3440
Practice Fax: 888-510-9071
1255907028 — CATHERINE MARGARET STANTON RN
Practice Location Address:
107 NELSON ST
ARROYO GRANDE, CA
93420-3318
Practice Phone: 805-242-1360
Practice Fax:
1124355441 — DANIEL WILLIAM CABLE PA-C
Practice Location Address:
536 CAMINO MERCADO STE 536
ARROYO GRANDE, CA
93420-1814
Practice Phone: 805-540-0279
Practice Fax:

Directions to “ MRS. EMILY JEAN MADDOX LPCC #374” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.