Jeanetta Rena Maddox, M.S.W.

NPI #1104098987 in Athens, Alabama

Provider Information

NPI Number: 1104098987
Entity Type: Individual
Name: Jeanetta Rena Maddox, M.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.S.W.
Enumeration Date: Apr 1, 2008
Last Updated: Jul 16, 2019

Practice Location

Address: 1307 E ELM ST
City: Athens
State: Alabama
ZIP Code: 35611-5318
Phone: (256) 232-3661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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