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NPI Code Detail

MEDICARE: MADELEINE BLAISE MCDONALD LPCC

MEDICARE: MADELEINE BLAISE MCDONALD LPCC
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
1101YP2500XProfessional CounselorE.2505908OH

General Provider Information

NPI Number : 1740931229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELEINE BLAISE MCDONALD LPCC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 TAYLOR STATION RD STE 310
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1157
Country : US
Telephone Number : 216-468-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2022
Last Update Date : 12/18/2025

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