Enricka Victoria Maddox, LPC | |
1500 Klondike Rd Sw Ste A103, Conyers, GA 30094-5115 | |
(770) 609-1936 | |
Not Available |
Full Name | Enricka Victoria Maddox |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1500 Klondike Rd Sw Ste A103, Conyers, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073281804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC008094 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Enricka Victoria Maddox, LPC 45 Tabor Trce, Oxford, GA 30054-4049 Ph: (404) 453-3680 | Enricka Victoria Maddox, LPC 1500 Klondike Rd Sw Ste A103, Conyers, GA 30094-5115 Ph: (770) 609-1936 |
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› Verified 9 days ago
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