Tai Maddox, LMFT
NPI #1063956670 in Perris, California
Provider Information
- NPI Number
- 1063956670
- Entity Type
- Individual
- Name
- Tai Maddox, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Dec 15, 2016
- Last Updated
- May 28, 2020
Practice Location
- Address
- 308 E SAN JACINTO AVE
- City
- Perris
- State
- California
- ZIP Code
- 92570-2878
- Phone
- (951) 775-2493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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