Susie Marie Madison, LPC
NPI #1104599356 in Richardson, Texas
Provider Information
- NPI Number
- 1104599356
- Entity Type
- Individual
- Name
- Susie Marie Madison, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 25, 2021
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 1136 N COTTONWOOD DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3762
- Phone
- (972) 730-6444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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