Enricka Victoria Maddox, LPC

NPI #1073281804 in Conyers, Georgia

Provider Information

NPI Number
1073281804
Entity Type
Individual
Name
Enricka Victoria Maddox, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Sep 7, 2021
Last Updated
Sep 7, 2021

Practice Location

Address
1500 KLONDIKE RD SW STE A103
State
Georgia
ZIP Code
30094-5115
Phone
(770) 609-1936

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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