Lisa Jeanne Maddox
NPI #1013632116 in Jacksonville, Florida
Provider Information
- NPI Number
- 1013632116
- Entity Type
- Individual
- Name
- Lisa Jeanne Maddox
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 11, 2022
- Last Updated
- Oct 27, 2023
Practice Location
- Address
- 4243 SUNBEAM RD STE 1
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32257-8975
- Phone
- (855) 284-7483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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